Section 3 and 4 to be filled by treating doctor and section 5 by the patient. All other sections to be filled by administrative personnel. Please write in Block letters. In case of additional details need to be provided please copy this Claim Form.
Download the Oman Insurance Direct Billing Claim form, this form is only for outpatients download inpatient, Dental, reimbursement claim forms from other links provided below.
Or save the below image