Forms

Membership

Application for membership - 0.4mb
Change in membership details - 0.46mb
Plan selection form - 0.43mb
Form A: Affidavit for Registration of Common-law Spouse/Partner/Fiancée - 0.2mb
Form B: Affidavit for Registration/Confirmation of Principal Member's Parent/Brother/Sister/Child/Other Dependant (over the age of 21) - 0.2mb
Form C: Affidavit for Registration/Confirmation of Child (over the age of 25) that is a Student - 0.2mb
Form F: Affidavit for Registration of Grandchild - 0.2mb
Form G: Affidavit for Registration of Physically Disabled Dependant - 0.2mb
Form H: Affidavit for Monthly Income of Pensioners - 0.2mb
Form I: Transfer of membership following death - 0.3mb
Form J: Affidavit for Registration of Stepchild (under the age of 21) - 0.2mb
Form K: Affidavit for Registration of Natural Child (under the age of 21) with a Different Surname to Principal Member - 0.2mb
Form L: Affidavit for Registration/Confirmation of Principal Member's Brother/Sister/Other Dependant (under the age of 21) - 0.2mb
Form M: Continuation membership for pensioners - 0.3mb
Form N: Affidavit for Deregistration of Common-Law Spouse/Partner/Fiancée - 0.2mb
Debit order form - 0.3mb
Member consent form - 0.22mb

Programme Enrolment

Palliative Care Application Form - 0.06mb
HIV YourLife Programme Application Form - 0.04mb
Maternity Programme enrolment form - 0.07mb
PMB application form - 0.83mb

Authorisations

Chronic Medication Application Form - 0.12mb