Medical Forms

Forms
S no. Title Details/Download
1 Application for CGHS Card for Employees
2 Application for CGHS Card for pensioners
3 Application Form for renewal of CGHS card (serving employees)- Form AA
4 Appendix-IV - Addition/Deletion to family
5 Form for CGHS Contribution Payment Form (For Pensioners)
6 Form for Life Certificate For Renewal of CGHS Cards (For Pensioners)
7 Form for reimbursement of medical claim (For Pensioner's)
8 Form for reimbursement of medical claim (For Serving Employees)
9 Transfer of Dispensary - Appendix XV