Back to all claims

Claim forms for all other services

Postal claims

Simply select the form below that's suitable to your needs, and follow these steps: 

Receipts

Gather your receipts, if this is applicable to the service.

Fill form

Print and complete the relevant form.

Post

Address: Vhi, Po Box 11530, Dublin 18.

Claim forms from A - Z

A - H
Document

Anaesthetists' supplementary claim form

This form is for completion by the Consultant Anaesthetist who provides the service.

Select form
Document

Appliance claim form

This claim form is for submitting appliance claims. Details for each appliance should be included. Here is the list of Vhi Approved Medical and Surgical Appliances up to 30-09-2025, and after 01-10-2025. 

Select form
Document

Fertility benefit claim form

Provide details and claim benefit towards your fertility treatment.

Select form
Document

360 Health/Vhi SwiftCare form

Form to claim for care in Vhi SwiftCare or Vhi 360 Health Centre.

Select form
Document

Healthsteps claim form

This claim form is for submitting day-to-day medical expenses covered by your plan. 

Select form
Document

Hospital claim form

This form will be completed by hospital administrative staff.

Select form
Document

Hospital@Home

Claim form for clinical care received in your home with Vhi Hospital@Home.

Select form
Document

Hospital Intensive Care

This form is for completion by the consultant who provides intensive care medicine.

Select form
I - Z
Document

Maternity claim form

Suitable for members who have received inpatient maternity care.

Select form
Document

Neonatal Intensive Care

This form is for completion by the consultant who provides the care.

Select form
Document

Oncology and Radiology

This claim form will be completed by the administrative team.

Select form
Document

Physio Company form

This claim form is for submitting your Joint Care Programme claims.

Select form
Document

Private ambulance form

Claim form for a private ambulance.

Select form
Document

Surgical procedures

This claim form will be completed by a medical practitioner. 

Select form