Documents to download

Forms

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) - Helsana Debit authorisation form for bank accounts PDF, 34 KB
Debit Direct (DD) - Helsana Debit authorisation form for PostFinance postal accounts PDF, 30 KB

Illness or accident abroad

Illness or accident abroad - Helsana Survey on illnesses or accidents while abroad PDF, 153 KB
Illness or accident abroad - Progrès Survey on illnesses or accidents while abroad PDF, 154 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, 57 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, 89 KB
Authorisation to obtain information - Helsana Group PDF, 95 KB

Contract combination

Contract combination Helsana-Group PDF, 123 KB

Contract separation

Contract separation Helsana-Group PDF, 114 KB

Cancellation form

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