Get Medical Aid

Changing the way you do Medical Aid.

Contact Us For More Information

Three Easy Steps


Download & Print the Application Form


Fill Out the Form and Scan It In


Upload Below or Submit by Email

After submitting your application a consultant will be in touch to confirm the details and answer any questions you might have regarding your application.


Download the PDF Document below
and save to your computer.


Application Form

What To Do Next

  • Print out the document;
  • Fill out and sign the application form;
  • Scan and save it back to your computer;
  • Upload the document on this page, OR
  • Email it to, together with supporting documents if any, as specified in the application form.


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Need Help?

My filetype is not accepted

The Upload form will only accept the following filetypes: .pdf, .jpg, jpeg and .png. To convert most filetypes you can use web-applications like Convert Files or Online Convert. Please be sure to check that your document is legible before uploading to our website. For security and compliance please upload the application form document in the format we provided it in (.pdf).

My file is too large

The Upload Form will only accept files smaller than 4 megabytes. When scanning in your document, use a resolution of 72 dots per inch to get a life-size version that is not unnecessarily large. Alternatively, use a web-application such as Smallpdf, We Compress or PDF Compressor.

I have a different question

Any questions and queries can be submitted via our contact form on the Contact Page. Please be sure to check our Frequently Asked Questions as your question may have been answered already.

For more information