Forms and Links

To make it faster and easier to purchase and use VZP private health insurance, we have provided these useful forms and helpful web links:

1. Medical Claim Form	Exclusive Plan	link
	Comprehensive Plan	link

2. Prescription Claim Form for Silver plan link

3. Notification of Change of Address or Termination link

4. Embassies and Consulates link

5. Payment/Deposit form to Raiffeisen Bank, ČR link

6. Raiffeisen Bank branches link

7. DHL rates link

8. Travel and Schengen Claim Form link

9.Physician’s Report for Pregnancy or Exclusive plan link

10. VZP ČR Public Insurance link

11. Terms and Conditions	Exclusive Plan	English	Český
	Comprehensive Plan	English	Český

12. Application for Foreigners link

13. Application for Foreigners Exclusive link

14. Application for Entrance Exam link