Nhif hospital selection 2026

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The document is a form from the National Hospital Insurance Fund (NHIF) in Kenya, designed for principal members to select or change their outpatient medical facility. It outlines the necessary guidelines for submission, including the requirement of a completed form, registration with NHIF, and attachment of the principal member's National ID. The form collects personal details of the principal member and their dependants, reasons for changing facilities, and includes sections for certification and official use.

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Click ‘Get Form’ to open the nhif hospital selection form in the editor.
Begin by filling out the Principal Member's Details section. Enter your surname, NHIF number, personal number, date of birth, mobile number, and employer information accurately.
Provide your other names, ID number, job group, gender, email address, and station. Ensure all mandatory fields are completed.
Next, move to the Dependants' Details section. Fill in the names and dates of birth for each dependant along with their gender and preferred medical facility code.
In the Reason for Change of Facility section, tick the applicable reasons for selecting a new facility from the provided options.
Finally, complete the Certification section by signing and dating the form to confirm that all information is correct.

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