Get Health Declaration Form (for Axa Shield)

Completing the Health Declaration Form for AXA Shield is a crucial step in ensuring your insurance coverage fits your needs. This guide will walk you through each section of the form with clear instructions to help you fill it out online with confidence.

Follow the steps to complete the Health Declaration Form online

1. Press the ‘Get Form’ button to obtain the Health Declaration Form and open it for editing.
2. Read the 'Important Note' section carefully to understand your obligations regarding disclosure.
3. Indicate the type of policy service you are requesting by selecting one of the available options.
4. In the 'Lifestyle Habits' section, provide accurate information about your smoking and alcohol consumption.
5. Complete the 'Medical and Health Information' section, answering questions about past health conditions and treatments.
6. For additional details requested in the form, specify any pertinent medical conditions or declarations as instructed.
7. In the 'Declaration and Authorisation' section, review and confirm that the information you provided is complete and accurate.
8. Sign and date the form as required, ensuring that signatures match your previous records.
9. Finally, save your changes, download the completed form, and choose to either print or share it as needed.

Take the next step in your insurance application and complete the Health Declaration Form online today!