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Our Forms

Registration Form (click to download)
- To start a fresh registration for any of our Health-Plans, download this form, fill it and send a scanned copy to This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Change of Registration Details Form (click to download)
-To update or change your already existing record with us, download this form, fill it and send a scanned copy to This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Registration Form TISHIP (click to download)
-Tertiary Institutions Social Health Insurance Scheme is open to students of tertiary institutions who want register for any of our Health-plans, download this form, fill it and send a scanned copy to This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Change of Provider Form (click to download)
-If a need arises to change your provider for any reason, download this form, fill it and send a scanned copy to This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Complaint Form (click to download)
-If you have any complaint about any of our services or that of any of our providers, download this form, fill it and send a scanned copy to This e-mail address is being protected from spambots. You need JavaScript enabled to view it

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