Downloadable forms...
Are you missing a form that you need? You can download many of IMG's brochures, forms and applications. These documents are saved in PDF format so you will need a PDF reader. If you need a PDF reader, click on the image below for a free PDF reader.
The forms & applications listed below are available for you to download. To do so, click on the file you desire.
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GLOBAL MEDICAL INSURANCE (Contents)
2003 Global Medical Insurance Application (77kb)
Diabetes Questionnaire(24kb)
Global Medical Insurance Affidavit of Eligibility(11kb)
Spanish GMI Application(232Kb)
Brochures
GMI 2003 Brochure (669kb)
GMI 2003 Spanish Brochure (390kb)
Claims Forms
Global Medical Insurance Claim Form(21kb)
PATRIOT TRAVEL MEDICAL INSURANCE (Contents)
Patriot Travel Medical Brochure(121kb)
Spanish Patriot Travel Medical Brochure (220kb)
Patriot Executive Travel Brochure (266kb)
Patriot Travel Group Brochure (256kb)
GEO Group (group coverage) (Contents)
GEO Group Summary of Benefits
GEO Group Brochure
GEO Group Frequently Asked Questions
GEO Group Request For Proposal
CLAIM FORMS (Contents)
IMG Claim Form(20kb)
IMG Interactive Claim Form (123 kb) must have MS Word to use
IMG Dental Claim Form (25kb)
Assignment of Benefit Form (50kb)
Privacy & Confidentiality Release (4kb)
General Accident Questionnaire (6kb)
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