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Health Insurance in Retirement
Enquiry form

Please use this form to submit an enquiry to Halcyon Healthcare

Halcyon Healthcare Ltd is an established health insurance intermediary, specialising in providing healthcare solutions for individuals, families and companies across the country.

Halcyon Healthcare Ltd is Authorised and Regulated by the Financial Services Authority.

Halcyon HealthCare Ltd Registered Office Wetherby Business Centre, 14-18 York Road, Wetherby, LS22 6SL
Incorporated in England & Wales Reg. No. 4636390

Health Insurance Form
What details are you interested in? Please select Yes or No against each option
Exercise related lifestyle Private Medical Insurance Policies :
Alternative Private Medical Insurance Policies
Equivalent policies to the above for Company Directors and staff schemes
About you
Your gender:
First name:
Last name:
Email Address:
Phone Number:
Postal address

Postcode:
Date of birth:
Your Health Insurance Details:
Are you currently in a company scheme or not? Please select the appropriate option:
If you are currently in a Health Insurance Scheme please give the name of your current Health Insurance provider.
Who do you want your health insurance plan to cover? Please select the appropriate option:
If the quote is to cover partner/spouse and/or children as well, please provide their names and date/s of birth
Please provide any other relevant details e.g. what has sparked your interest in looking at alternatives, current premium etc.

Thank you for completing the above information. Once you complete and submit the form a representative of Halcyon Healthcare Ltd. will contact you.
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Health Insurance in Retirement Enquiry form

Health Insurance in Retirement
Enquiry form