Documents to download


An overview of our key forms for individual customers, available to download, print out and save in PDF format.

How to complete and save PDFs
To be able to save PDF files after completing them, you must have at least Version 11 of Adobe Reader.

Payment transactions

For private customers: Bank direct debits (LSV) & Swiss Direct Debit (CH-DD) Payment authorisation form for bank or postal accounts PDF, 53 KB
Form account details account details PDF, 40 KB

Illness or accident abroad

Illness or accident abroad Survey on illnesses or accidents while abroad PDF, 130 KB
Payment of costs for a planned hospital stay abroad Application for payment of costs for a planned hospital stay abroad under Supplementary Hospital Insurance PDF, 38 KB

Legal protection claim

Notification of legal protection claim Notification of a claim under healthcare and legal expenses insurance abroad, or under civil and motoring legal expenses insurance PDF, 1 MB

Power of attorney

Authorisation Helsana+ for minore over the age of 12 Authorisation to participate in the Helsana+ bonus programme PDF, 114 KB
Power of Attorney - Helsana Group A copy of an official identity document belonging to the authorising party must be included for identification purposes. PDF, 48 KB

Contract combination

Contract combination Helsana-Group PDF, 37 KB

Contract separation

Contract separation Helsana-Group PDF, 37 KB

Cancellation form

Cancellation form A template letter to use when writing to your prior insurer terminating your insurance PDF, 90 KB

Customer information

Customer information according to the VVG Overview of the insurer and the fundamental parts of the insurance policy PDF, 1 MB
Customer information in accordance with Article 45 of the VAG PDF, 60 KB