Forms & Information Sheets
Forms
New Member forms
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- Application for membership of Selfmed Medical Scheme
- Declaration Regarding Previous Medical Scheme History
- 2019 Selfmed Option Choice Form (Eng)
- 2019 SelfNET Option Choice Form (Eng)
- 2019 SelfNET Essential Option Choice Form (Eng)
- Aansoek om Lidmaatskap
- Beëidige Verklaring Rakende Vorige Mediese Skema Geskiedenis
- 2019 Selfmed Opsiekeusevorm (Afr)
- 2019 SelfNET Opsiekeusevorm (Afr)
- 2019 SelfNET Essential Opsiekeusevorm (Afr)
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Existing Member forms
- Amendment Form (Contact Details & Additional Members)
- Banking Amendment Form (Change of Banking Details)
- Debit Order Mandate
- Application form for PMB benefits
Corporate Member forms
2019 Selfmed Brochures & Information Sheets (Detailed Benefits)
Benefits are subject to approval from the Council for Medical Schemes.
Selfmed – Detailed Benefits 2019
2019 SelfNET Brochures & Information Sheets (Detailed Benefits)
Benefits are subject to approval from the Council for Medical Schemes.
SelfNET – Detailed Benefits 2019
Documents for download are in Adobe Acrobat PDF format. If you do not have Acrobat Reader please download for free at: www.adobe.com