Other Forms

  • Change of Membership Details Form

    Download and complete this form to change your health insurance cover.

    Download PDF 641kb

  • Delegated Authority Form

    By completing this form, you can authorise another person to speak to Australian Unity about your membership on your behalf.

    Download PDF 125kb

  • Direct Debit & Direct Credit Request

    Complete this form to arrange for automatic payment from a nominated bank or building society account. Also use this form to arrange for your claims benefits to be credited directly into your nominated account, (excludes credit card accounts).

    Download PDF 738kb

  • Dr Health Check Form

    Have this form completed by your doctor to claim doctor health check benefit from Australian Unity.

    Download PDF 651kb

  • Gap Cover Brochure

    This brochure provides information about Australian Unity Gap Cover and how it works.

    Download PDF 1633kb

  • Government Rebate Form

    Completing this form will allow you to pay lower health insurance contributions by allowing Australian Unity to claim the Government Rebate for you.

    Download PDF 139kb

  • Health Coaching Form

    Get you on your way towards a health coaching consultation

    Download PDF 757kb

  • Health Cover Guide

    Selecting a health cover that’s right for you doesn’t have to be complex and confusing. Just follow the simple colour-coded guide in our Health Cover Guide and turn to your section. Identify your needs and we’ll show you a cover that suits you and your budget.

    Download PDF 3378kb

  • Health Insurance Application form

    Complete a Health Insurance Application form to begin your Health Insurance cover with Australian Unity. This application form must be read in conjunction with the Health Cover Guide, which includes details of waiting periods, exclusions, restrictions, excesses and co-payments.

    Download PDF 604kb

  • Member Support Program

    This brochure provides information about the benefits of our Member Support Program.

    Download PDF 791kb

  • Overseas Suspension Brochure

    This brochure gives you information about how to suspend your membership temporarily if you are travelling overseas.

    Download PDF 1840kb

  • Pre-existing ailments - information brochure for consumers

    Will the pre-existing ailment waiting period affect you? Produced by The Department of Health and Aged Care, this brochure provides you with a clear explanation of the pre-existing ailment waiting period, when it applies, and how health funds determine whether it applies.

    Download PDF 92kb

  • Step Into Life Referral Form

    Have this form completed by your doctor to claim Step Into Life benefits from Australian Unity

    Download PDF 697kb

  • Student Dependant

    Use this guide to work out if your student dependant can be covered under your health cover.

    Download PDF 790kb

  • Transfer Certificate Request Form

    If you are transferring to Australian Unity and you are eligible for more than the default 30% rebate, this will be adjusted once we receive a Transfer Certificate from your previous health fund. To request your Transfer Certificate, please complete a Transfer Certificate Request and forward to Australian Unity within 14 days for processing.

    Download PDF 132kb

  • Wellness Benefits

    Practical support to improve your health, wellbeing and happiness

    Download PDF 1284kb

  • Wellplan No Gap Dental Services Brochure

    Information about Wellplan’s No Gap Dental Services.

    Download PDF 872kb