This Travel insurance policy contains health restrictions. You must be able to make the following declaration for yourself and each insured person.

For you and each insured person
As far as I know, the following apply.

a: Nobody is waiting for an operation, hospital consultation (other than for regular check ups), or other hospital treatment or investigations.

b: Nobody has received treatment, other than regular medication, in the last 12 months for:

• any blood disorder;
• any psychiatric illness;
• any form of cancer, leukaemia or tumour;
• dialysis treatment; or
• a transplant;
• dementia.

c: Nobody, diagnosed as HIV positive, has required treatment for HIV or any HIV related illness.

d: Nobody has any breathing or heart problem which has needed hospital treatment in the last 12 months.

e: Nobody has been seen by a specialist in the last three months (other than for regular check ups) or has been admitted to a hospital overnight.

f: Nobody has been given a terminal prognosis by a registered doctor.

g: I do not know of any reason (medical or otherwise) why the trip is likely to be cancelled or cut short.

• If you or anyone travelling with you, cannot agree with this declaration when you take out the insurance, you must phone the Fortis Health Line on 08701 222 038 -> Quoting scheme code CT1. You must do this before you take out this insurance and they will tell you if we can give you cover. You will be given a reference number which can be added to the policy along with all your other details.

• If there is is a change in your medical condition or the medical condition of anyone travelling with you (after you have taken out this insurance but before you travel) and you can no longer agree with the declaration you must contact the Fortis Health line immediately on 08701 222 038, quoting scheme CT1. They will tell you if your cover can continue.