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 methods

Bank direct debits (LSV) & Swiss Direct Debit (CH-DD) Payment authorisation form for bank or postal accounts PDF, 38 KB

Illness or accident abroad

Illness or accident abroad Survey on illnesses or accidents while abroad PDF, 53 KB

Accident notification from 15 years

Accident notification from 15 years - Helsana PDF, 74 KB

Accident notification up to 14 years

Accident notification up to 14 years PDF, 55 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, 43 KB

Power of attorney

Authorisation - Helsana Group For authorisations relating to legal acts and the provision of information, please send us both forms (Authorisation and Authorisation to obtain information). PDF, 36 KB
Authorisation to obtain information - Helsana Group A copy of an official identity document belonging to the authorising party must be included for identification purposes. PDF, 39 KB

Contract combination

Contract combination Helsana-Group PDF, 115 KB

Contract separation

Contract separation Helsana-Group PDF, 109 KB

Cancellation form

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