Nhif Registration Form – Fill Out and Use This PDF

The Nhif Registration Form is an important resource for those looking to secure care and benefit from health services. It helps individuals access medical insurance, prescription drugs, mental health services, and long term treatment coverage. Filing for registration is easy, just fill out the online form with the necessary information to get your request rolling! After receiving the correct information from patients, Nhif processes the forms within two weeks to ensure that they have provided a satisfactory healthcare coverage package. It’s a quick, simple way to make sure that you have secure access to what best fits your needs and receives optimal protection as per government regulation. By registering with Nhif you can enjoy more robust planning and secure your future health in case any financial uncertainties occur.

Nhif Registration Form PDF Details

It can be daunting to find all the right information when signing up for health insurance, and it's important that you have the necessary forms filled out correctly before submitting your application. The National Health Insurance Fund (NHIF) registration form is a crucial part of any health insurance application process, making sure that you are eligible to receive coverage through NHIF once approved. In this blog post, we'll provide an overview of what must be included on an NHIF registration form, share key tips and best practices along the way, so that you can avoid potential issues or delays with your plan enrollment applications.

Question	Answer
Form Name	Nhif Registration Form
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	nhif online, nhif website, nhif dependant registration form online, nhif registration form

Form Preview Example

NHIF 26 (Revised 2011)

P.O. Box 30443, NAIROBI

Website: www.nhif.or.ke Email: info@nhif.or.ke

!"#$%%"&&&!$%"#

a)	Member Name:	................................................................................................................................................
b)	Member No:	I.D No.:
c)	Postal Address:	................................................................................................................................................
d)	Telephone No:	Email:

e)Requested Changes: .......................................................................................................................................

.........................................................................................................................................................................

NB:

1.To input the name of a spouse for the 1st time even after a member is already registered, Copies of I.D for Member and spouse is required.

2.To change the name of spouse the following documents will be required:

•Copies of I.D for Member and spouse

•Either marriage certificate/Affidavit from the courts OR Death /Divorce Certificate

%#'&"#!"#&

Name of Child		Date of Birth
Name of Child
	Date	Month	Year	Gender (M/F)

Birth Certificate No

Birth Notification No

(Please attach photocopies of birth certificates (or birth notification in case the child is 6 months and below)

NHIF 26 (Revised 2011)

%(#"%&

Please attach coloured passport size photographs for each of the person named in part I and II, indicate principal member ID and the name of the person below.

CONTRIBUTOR

SPOUSE

CHILD

Member Name	Spouse’s Name	Child’s Name
.................................................................	.................................................................	.................................................................
Member’s Reg No	Dependant’s No	Dependant’s No

CHILD

Child’s Name	Child’s Name	Child’s Name
.................................................................	.................................................................	.................................................................
Dependant’s No	Dependant’s No	Dependant’s No

)#*"

I certify that the information is correct to the best of my knowledge.

Name of Contributor

Sign

Date

1.Receiving Officer_________________________________________ Sign _____________ Date _________

2.Verification Officer________________________________________ Sign _____________ Date _________

3.Amending Officer ________________________________________ Sign _____________ Date _________

4.Photo processing Officer __________________________________ Sign _____________ Date _________

How to Edit Nhif Registration Form Online for Free

online nhif registration can be completed in no time. Simply try FormsPal PDF editor to complete the job right away. We at FormsPal are committed to providing you with the perfect experience with our editor by constantly introducing new functions and upgrades. Our editor is now a lot more helpful thanks to the latest updates! So now, filling out PDF documents is simpler and faster than ever before. To get the process started, consider these easy steps:

Step 1: Simply click on the "Get Form Button" in the top section of this site to start up our pdf file editing tool. There you will find everything that is needed to work with your document.

Step 2: With this online PDF editor, you are able to accomplish more than simply complete blank form fields. Edit away and make your documents appear faultless with customized text put in, or optimize the original content to perfection - all comes with the capability to incorporate just about any graphics and sign the document off.

Filling out this document requires attentiveness. Make sure that every single blank field is filled out correctly.

1. It is crucial to complete the online nhif registration accurately, so pay close attention when working with the parts including these specific blank fields:

nhif application writing process outlined (part 1)

2. Now that this part is finished, it is time to include the essential details in Please attach photocopies of birth in order to proceed to the 3rd stage.

nhif application conclusion process clarified (stage 2)

3. This next section should be relatively simple, Member Name Members Reg No, Spouses Name Dependants No, Childs Name Dependants No, CHILD, CHILD, CHILD, Childs Name Dependants No, Childs Name Dependants No, Childs Name Dependants No, I certify that the information is, and Name of Contributor Sign Date - all these fields must be filled out here.

It's very easy to make a mistake while filling in the CHILD, for that reason make sure you go through it again before you'll submit it.

4. The following paragraph requires your information in the following places: . Make certain to type in all of the needed information to go onward.

this field, next field, and other fields inside nhif application

Step 3: Glance through all the information you've typed into the form fields and click the "Done" button. Join us right now and instantly get online nhif registration, all set for download. Every single change you make is conveniently saved , enabling you to change the form at a later point if required. With FormsPal, you can easily fill out forms without the need to be concerned about data incidents or records getting shared. Our secure software helps to ensure that your private information is maintained safe.

Nhif Registration Form – Fill Out and Use This PDF

Nhif Registration Form PDF Details

Form Preview Example

How to Edit Nhif Registration Form Online for Free

Nhif Registration Form isn’t the one you’re looking for?

Related Documents