ONLINE FORMS
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Consult the available forms
On this page it is possible to retrieve all the forms relating to the activities and procedures for accessing Health Assistance services.
The forms available on this site are in PDF format (read the short explanatory note).
Mutua MBA Forms
*IMPORTANT NOTE:
With a view to constantly improving the Network under the agreement, we inform you that the agreement requested will be taken over by the company Health Point S.p.A. – single-member company (with registered office in Via di S. Cornelia 9, 00060 Formello (RM), registered in the Rome Company Register under no.14439951006, equal to tax code and VAT number), part of the Health Italia Group. Furthermore, Health Assistance will continue to carry out the preliminary investigation with regard to direct and indirect practices and to establish, through its Operations Center, the point of connection between clients and affiliated Health Facilities. To this end, we ask you to send the duly completed form to the Network Healthpointitalia mailbox network@healthpointitalia.com
With a view to constantly improving the Network under the agreement, we inform you that the agreement requested will be taken over by the company Health Point S.p.A. – single-member company (with registered office in Via di S. Cornelia 9, 00060 Formello (RM), registered in the Rome Company Register under no.14439951006, equal to tax code and VAT number), part of the Health Italia Group. Furthermore, Health Assistance will continue to carry out the preliminary investigation with regard to direct and indirect practices and to establish, through its Operations Center, the point of connection between clients and affiliated Health Facilities. To this end, we ask you to send the duly completed form to the Network Healthpointitalia mailbox network@healthpointitalia.com
