For direct access to some of our most commonly requested claim forms, click below.

• Drug 
• Extended Health Services (EHS) 
• General
• Dental
• Health Care Spending Account (HCSA)*
  *This form is only for the use of those who have a Health Care Spending Account (HCSA).
• Personal Spending Account (PSA)

For access to some of our more specific claim forms, click below.

• Audio
• Authorization for Custom Braces
• Authorization for Post-Cataract Surgery and Prosthetic Eyewear
• Authorization for Prosthetic Appliances and Durable Medical Equipment
• Childcare
• Chronic Care/Alternate Level of Care  
• Government Health Insurance Replacement (VS Plan)
• Medical Devices
• Services performed by an R.N., R.N.A., R.P.N., P.N.A. or L.P.N., Personal Support Worker  
• Custom Foot Orthotics
• Emergency Medical Expense*
  *This form is to be used to make health claims while travelling Out-of-Province/Out-of-Canada.
• Hospitalization
• Long-Term Care Facility   
• Oxygen Equipment and Supplies 
• Related Health Professional Services 
• Scholarship Program for Dependent Children 
• Vision 

 Requires Adobe Acrobat Reader