Travel Insurance for people with medical conditions

Orbis have been successfully providing cover for our clients since 2005.
We assess all cases on an individual basis so we are unable to provide an on-line policy. Please complete the form below and we will return to you with a premium indication.

Contact Tel. number  
Email address  
Single or annual?  
Destination  
Date of Departure
Date of Return
Number of travellers to be insured  

 

Full names of Travellers
Traveller 1
Traveller 2
Traveller 3
 
Traveller 4
Traveller 5
Traveller 6
 
Traveller 7
Traveller 8
Traveller 9

 

Dates of Birth
Traveller 1
Traveller 2
Traveller 3
 
Traveller 4
Traveller 5
Traveller 6
 
Traveller 7
Traveller 8
Traveller 9

 

*We will call you back to take your medical information.

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