Application Form (may be filled in on your screen)

The Blue Cross Application requires an original signature.  Please use black ink for any handwritten entries. Please sign the completed application and mail to:

American Veterinarians' Insurance
2398 Lenora Church Road
Suite 204
Snellville, GA  30078

You will need Acrobat Reader software to view and print the application form. If you do not have a copy, you may download a FREE version from Adobe.

Apply On-Line

Click here to apply for Blue Cross Blue Shield individual health insurance.