Forms & Information Sheets
Forms
New Member forms
- Application for membership of Selfmed Medical Scheme
- Declaration Regarding Previous Medical Scheme History
- 2018 Selfmed Option Choice Form (Eng)
- 2018 SelfNET Option Choice Form (Eng)
- 2018 SelfNET Essential Option Choice Form (Eng)
- Aansoek om Lidmaatskap
- Beëidige Verklaring Rakende Vorige Mediese Skema Geskiedenis
- 2018 Selfmed Opsiekeusevorm (Afr)
- 2018 SelfNET Opsiekeusevorm (Afr)
- 2018 SelfNET Essential Opsiekeusevorm (Afr)
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
2018 Selfmed Brochures & Information Sheets (Detailed Benefits)
Benefits are subject to approval from the Council for Medical Schemes.
Selfmed – Detailed Benefits
2018 SelfNET Brochures & Information Sheets (Detailed Benefits)
Benefits are subject to approval from the Council for Medical Schemes.
SelfNET – Detailed Benefits
Documents for download are in Adobe Acrobat PDF format. If you do not have Acrobat Reader please download for free at: www.adobe.com