These documents can be very helpful

  • Billing form
  • Billing guidelines
  • Supplier website user guide

Useful documents for healthcare services

  • Cancer treatment application form
  • Consent management template for adults
  • Consent management template for minors
  • PET-CT authorisation form
  • Medical report template
  • Self-billing agreement for companies
  • Self-billing agreement for professionals

Contact details

If you have any queries or would like further information, please contact us by:

- Email: saludproveedores@axa.es
- Paper prescription pad order form
- Form for other enquiries
- Calling 902 36 46 39 between 8 am and 9 pm

 

Medical authorisation requests

If you need a medical authorisation for a health insurance member, you can ask for it here:
- Medical authorisation form