Forms

The forms of the Patient Insurance Centre are available online. You can also order forms by e-mail at lomaketilaus(@)vakuutuskeskus.fi

Move to:

For people filing a notice of injury
For claimants
Electronic services
Power of attorney
For employers
For healthcare professionals

For people filing a notice of injury

Please use the notice of injury form provided by the Patient Insurance Centre for reporting a patient injury. You can file a notice of a patient injury with the Patient Insurance Centre in three different ways:

File an electronic notice of injury using your online banking credentials. Electronic form for filing a notice of injury
Fill out the Notice of patient injury pdf form. Print and sign the form and send it to the Patient Insurance Centre by post. Notice of a patient injury form (PDF, opens in a new tab)
Fill out a paper form. Sign the form and send it to the Patient Insurance Centre by post.

If authentication is not working with the Internet Explorer browser, please use another browser.

The device and web browser you use affects the way you are able to use the PDF forms. If you wish to save the PDF form to your device, you should first download and save it and then fill it out. When we mention a device, we mean computer, a mobile phone or a tablet.

You can claim compensation under patient insurance by filing a written notice of injury. Instructions for filing a notice on injury are available on our website: Filing a notice of injury

If you suspect a patient injury has occurred, take our patient injury test first. The test will provide you with an assessment on whether the Patient Injuries Act could be applicable to your case: Patient Insurance Centre’s online test

For claimants

The claim application form for a patient injury or a patient injury that has resulted in death is completed and submitted to the Patient Insurance Centre after a positive claims decision has been issued. We append the form to positive claims decisions, but you can also download the form on this page. If the injury results in further costs or losses at any time in the future, you can also use these forms to claim compensation for them.

You can complete the compensation claim form either as an electric form online or as a printable PDF form.

Electronic compensation claim forms

Sign in to the service with your online banking credentials of a mobile ID. Fill in and submit the electronic application.

Printable PDF compensation claim forms

Fill in the PDF form on your device and then print it. Sign the form and mail it to the Patient Insurance Centre’s address: Patient Insurance Centre, P.O. Box 1, FI-00084 INSURANCE CENTRE. You can also fill in the printed form by hand.

If you are using Internet Explorer and cannot use the forms, or the authentication to the electronic services does not work, please try using another web browser.

The device and web browser you use affect how you can use the PDF forms. If you want to save a form on your device, download and save the form first and fill it in later. A ‘device’ refers to any computer, mobile phone or tablet computer.

Instructions for filling in the forms and for applying compensation can be found on the ‘Claiming compensation’ page.

Electronic services

You can also submit questions, statements, rejoinders and attachments related to your claim through Patient Insurance Centre’s electronic contact form. In order to contact the Centre electronically, you will need your online banking credentials and the claim reference number of your case. The claim reference number can be found from the confirmation letter or decision sent to you by the Patient Insurance Centre or by calling the Patient Insurance Centre’s customer service. The format of the claim reference number is PO-yyyy-nnnn-nnn, for example PO-2012-1234-123. If authentication is not working with the Internet Explorer browser, please use another browser.

Please send the attachment files in a format where they can be transferred directly to our system. Our system supports the following file formats: .pdf (not electronic forms), .doc, .docx, .xls, .xlsx, .txt, .gif, .png, .jpeg, .jpg and .bmp. We cannot process attachments sent in other formats. We also cannot receive reports via a cloud storage service, e.g. Google Drive, OneDrive and DropBox. or audio files.

We do not offer IT support in problem situations related to sending attachments. If you cannot deliver attachments in the requested file formats, you can print them or save them, for example, on a memory stick. and send by letter to Patient Insurance Cetre (Potilasvakuutuskeskus, PO Box 1, 00084 VAKUUTUSKESKUS).

Electronic services for compensation cases (opens in a new tab)

Power of attorney

If you wish to authorise another person to attend to the patient injury case on your behalf, you may attach your duly signed power of attorney to your notice of injury. You can submit the power of attorney as an attachment later as well.

Power of attorney (PDF, opens in a new tab)

If you filled out the Authorization section of the notice of injury form or the compensation claim form and thus authorised another party to manage your case on your behalf, you do not need to submit a separate power of attorney.

The Patient Insurance Centre must always be notified of the cessation of the authorisation in writing. You can also use our power of attorney form for cancelling the authorisation.

If the patient has deceased, the parties to the estate can authorise one person to attend to the patient injury case and to receive the compensation. To grant such authorisation, all parties of the estate must fill and sign their own power of attorney

Power of attorney for estates (PDF, opens in a new tab)

For employers

An employer, from whom the Patient Insurance Centre has requested statement on the amount of a loss of income, may submit its report to the Patient Insurance Centre by completing the following form:

Employer’s statement on income (PDF, opens in a new tab, in Finnish)

Please note that the PDF form cannot be sent electronically, because it must be signed. Fill in the PDF form, print it and mail it to the Patient Insurance Centre with the address Patient Insurance Centre
PO Box 1, FI-00084 VAKUUTUSKESKUS.

Contact details of the Patient Insurance Centre

For healthcare professionals

When a notice of injury has been received by the Patient Insurance Centre, it will request the place of treatment or the healthcare professional who provided the treatment on which the notice has been made to submit a statement.

Statement from healthcare provider

The written report must be submitted using the ‘Statement from the healthcare provider’ form:

Electronic Statement from the healthcare provider form (PDF, opens in a new tab, in Finnish)

If a member of the Finnish Medical Association has indicated on the Statement from the healthcare provider form that they work as a self-employed healthcare professional and wish to use the group patient insurance taken out by the association for its members, they must include an attachment in the statement from the representative of the clinic or healthcare provider confirming this information. More information on this process can be found on the form.

Electronic Attachement to the statement from the healthcare provider -form (PDF, opens in a new tab, in Finnish)