Provider Forms

On this page as a provider you can find our ‘authorisation to release information’ form, along with other forms such as our ‘accident, injury or condition’ form and ‘hospital special consideration’ forms.  

 

Provider Forms

Authorisation to Release Information Form

This form authorises the release of patient and/or member’s details from doctors, hospitals or other authorities to CBHS Corporate Health and CBHS Corporate Health’s medical consultants. Click here to download form

Certificate for Medical Practitioner 

This form allows CBHS Corporate Health’s medical advisors to assess whether the member’s condition is a pre-existing condition and determine whether it is a condition in relation to which a waiting period applies. Click here to download form. 

Accident, Injury or Condition Form 

This form allows CBHS Corporate Health to assess a member’s claim in relation to an accident, injury or condition.  Click here to download form.

Disclaimer: On some occasions, CBHS Corporate Health may need to obtain information directly from providers such as hospitals, doctors and other health professionals.