Forms for

healthcare providers

Forms for healthcare providers

On this page, healthcare providers, such as hospitals, medical practices and doctors, can find prescription information and important forms. You can download the files quickly and easily, fill in the details online and send them to us via HIN secure mail. Alternatively, you can print out the documents and send them to us by post.

  • Medical information: physiotherapy
  • Information on diagnosis
  • Clarification regarding drugs/medication
  • Prescription for artificial nutrition at home (only in German)
  • Prescription for non-invasive and invasive home ventilation (only in German)
  • Request for a commitment to cover costs for solid organ or stem cell transplantation
  • Loss of earnings compensation and/or other expenses for the donor