Travel Insurance for people with medical conditions

Orbis have been successfully providing cover for over 4 years.
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.