member forms

CBHS membership forms are available for download here, including application forms, claim forms and change of details forms.

  • Membership Application Form

    (282KB)

  • Claim Form

    (166KB)

  • Federal Government Rebate Application Form

    (Fillable Online version) (215KB)

  • Federal Government Rebate Application Form

    (Print version) (136KB)

  • Direct Debit Request Form

    (55KB)

  • Change of details form

    (635KB)

  • Clearance Certificate Request Form

    (91KB)

  • Student Dependant Declaration Form

    (39KB)

  • Suspension of Cover Form

    (40KB)

  • Health Management Program Authorisation Form

    (147KB)