Get Nhif Forms

Filling out the Nhif forms online can streamline the process of submitting claims for hospital treatment. This guide provides a comprehensive overview of the form's components and offers step-by-step instructions to ensure that users can complete it accurately and efficiently.

Follow the steps to fill out the Nhif forms with ease

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In Part I, Contributors Particulars, fill in your surname or main name, followed by your other names. Provide your I.D. number and NHIF contribution number. Also, indicate the date when your first contribution was due, your postal address, the name of your employer, the employer's address, and the number of stamps on your card.
3. Move to Part II, Patient Particulars. Here, enter the patient's surname or main name and other names. Record the patient's date of birth and their I.D. number (if they are self or a spouse). Fill in the patient's postal address and describe their relationship to the contributor (self, partner, or child).
4. In Part III, Hospital Particulars, write the full name and address of the hospital. Indicate the NHIF approved rate per day and provide the patient's date of admission and discharge. State the nature of treatment, specifying whether it is medical, surgical, maternity, or therapy. Include the receipt number and the hospital’s statement number.
5. At the end of the form, certify that your contributions to the National Hospital Insurance Fund have been paid to date and attach your card as evidence. Then, confirm that hospitalization does not result from an injury or illness related to claims under the Workmen's Compensation Act. Finally, write the date and sign the form to complete the process.
6. Once you have filled out the form completely, you can save any changes, download a copy for your records, print it out, or share it as needed.

Complete your Nhif forms online today for a seamless claims submission experience.