Pre-existing Medical Conditions

I am under the age of 70 years old

If you are under 70 years old and need to complete a manual Pre Existing medical form then please download it below.

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Once completed please either post or fax to the details below.

I am between the age of 70-79 Years

If you are between 70-79 years old and need to complete a manual Pre Existing medical form then please download it below.

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Once completed please either post or fax to the details below.

I am aged 80 years old or over

If you are 80 years old or over and need to complete a manual Pre Existing medical form then please download it below.

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Once completed please either post or fax to the details below.

What should I do with it?

Please either post or fax your PE form to the address below:

1Cover Pty. Ltd.
Level 11,
307 Pitt Street
Sydney, 2000
NSW
Australia

Fax: (+)61 2 9235 0111

1Cover Travel Insurance ABN 91 105 954 265 is an authorised representative of AGA Assistance Australia Pty Ltd ABN 52 097 227 177 AFSL 245631 trading as Allianz Global Assistance. Travel insurance is underwritten by Allianz and arranged and managed by Allianz Global Assistance. 1Cover Travel Insurance acts as an agent of Allianz Global Assistance, not as your agent. Any advice here does not take into consideration your objectives, financial situation or needs, which you should consider before acting on our recommendations. You should read and consider the Product Disclosure Statement before deciding whether to acquire any product mentioned here. Available at www.1Cover.com.au