Get Firstcare Pre-authorisation Form

This guide provides clear and supportive instructions for filling out the FIRSTCARE Pre-authorisation Form online. The aim is to facilitate users in navigating the form, ensuring that all necessary information is provided accurately for a smooth pre-authorisation process.

Follow the steps to complete the form effectively.

1. Press the ‘Get Form’ button to access and open the FIRSTCARE Pre-authorisation Form in your document editor.
2. Begin with Part I of the form, where you need to provide credit card details and authorisation. Fill in the policy number, names of the insured person and policyholder, and credit card account number. Ensure all information is complete and accurate.
3. In Part II, provide the required details about the insured person, including their HKID number, contact information, and any necessary medical information that may be requested by your attending doctor.
4. Ensure to complete all sections under Part II, particularly those relating to medical details such as diagnosis, treatment plan, and estimated medical costs. This information is essential for AXA's assessment.
5. Review all entries in the form for accuracy and completeness. Do not sign the form until you are certain that everything is filled out correctly.
6. Finally, save your changes, and download the completed form. You may also print or share it as needed to submit it to AXA through the relevant contact methods.

Complete your FIRSTCARE Pre-authorisation Form online to ensure timely processing of your pre-authorisation request.