Get Sg Medical Claims Authorisation Form 2019-2026

This guide provides comprehensive instructions on filling out the SG Medical Claims Authorisation Form. With a focus on clarity and ease of use, this guide will help you navigate each section of the form effectively.

Follow the steps to complete the form accurately.

1. Press the ‘Get Form’ button to obtain the SG Medical Claims Authorisation Form and open it in your preferred editor.
2. In Section A, enter the particulars of the patient. Provide their name, select their status by checking the appropriate box for 'Singapore Citizen,' 'Permanent Resident,' or 'Foreigner.' Fill in the date of birth in the DD-MM-YYYY format, and include the NRIC or CPF account number, or FIN/passport number if the patient is a foreigner.
3. Proceed to Section B to input the particulars of the additional Medisave payer if applicable. Enter their name and date of birth. Specify the relationship to the patient by checking the relevant box (spouse, child, grandparent if the patient is SC/PR, etc.), and provide their NRIC or CPF account number.
4. In Section C, outline the purpose of the form. Specify the authorizations being requested for both the patient and the additional Medisave payer, including withdrawal from Medisave, claims from health insurance, and coverage checks. Select the applicable checkboxes to indicate the desired treatments and dates.
5. Complete Section D if you are signing on behalf of the patient or additional Medisave payer. Fill in your details, select the appropriate role, and provide additional identification information as required.
6. If necessary, a doctor must complete the doctor’s certification section if the patient lacks capacity. The doctor should provide their name, signature, and date of signature. A clinic or hospital stamp may also be required.
7. Review the consent statements regarding data-sharing and use of information, ensuring you understand the agreements outlined. Sign or provide a thumbprint as appropriate to finalize the submission of the form.
8. After completing all sections of the form, save changes, and then opt to download, print, or share the SG Medical Claims Authorisation Form as required.

Start filling out your SG Medical Claims Authorisation Form online today for a smoother claims process.