Get Website: Westfieldhealth.com Q Claim Form - Foresight

Filling out the Westfield Health Q Claim Form - Foresight online is essential for submitting a claim efficiently. This guide provides clear, step-by-step instructions to ensure that you complete the form accurately.

Follow the steps to fill out the Q Claim Form - Foresight online.

1. Click the ‘Get Form’ button to access the claim form and open it in your chosen editor.
2. Begin by identifying yourself in Part 1. Circle the appropriate title (Mr, Mrs, Miss, Ms, Dr, or Other) and provide your Westfield Account Number, surname, first name, and date of birth. If there is a change of address, indicate this by placing a cross in the designated box.
3. Complete your address by filling in your house number or name, street, town, and postcode. Additionally, provide a contact telephone number and email address.
4. If you prefer payment to be made directly into your bank account, fill in your account number and sort code. Only complete this section if your account details have changed.
5. If you are claiming for a dependent child, fill in their details including surname, first name, and date of birth. Specify whether the child resides with the policyholder by selecting 'Yes' or 'No'.
6. In the declaration section, confirm that the information provided is true and complete by signing and dating the form.
7. Proceed to Part 2 where you will specify the benefits you are claiming. Check the box corresponding to the benefits of optical, dental, or other treatments.
8. For each benefit claimed, ensure to enclose the relevant original receipts. State the amount paid for each service, and include dates of receipt where applicable.
9. Once all fields are filled out accurately, review your form for completeness. You can then save your changes, download a copy, print it, or share it as needed.

Complete your claim form online today to ensure swift processing of your benefits.