How old are the people travelling on this policy?
For each traveller on this policy, please enter a date of birth
Lead traveller date of birth:
Does any traveller to be insured on the policy need cover for any pre-existing medical conditions?
What is pre-existing medical condition? click
here to know more.
Before we can proceed with your medical assessment please read and confirm that you understand and agree with the following statement.
All personal and medical data you provide, as part of this assessment process, is stored by Rock Insurance Services Limited (ROCK) according to current Data Protection legislation. This service uses a system which automates the decision about whether to offer an endorsement and how much that endorsement might cost. To complete the assessment of your pre-existing medical conditions it is necessary for ROCK to request and store sensitive personal data. Please read our
Privacy Notice if you require further information about how ROCK handles your data.
Are you happy to give your consent to the use of your personal and medical data in the manner just explained?
Does anyone to be covered by this travel insurance policy have any of the following?
Do you have any medical condition where you have been prescribed medication, including repeat prescriptions, or received treatment or attended a GP or a specialist as an outpatient or inpatient in the last 2 years or for which you are currently on a waiting list for treatment or investigation?
Do you have any illness for which you have received a terminal prognosis or any heart, heart-related or circulatory condition; or any respiratory condition; any stress, anxiety, depression or any other psychological condition or any cancerous condition?