Get Sizwe Chronic Application Form 2020

Filling out the Sizwe Chronic Application Form 2020 online can be a straightforward process if you follow the instructions closely. This guide provides step-by-step assistance to ensure you complete the form accurately and efficiently.

Follow the steps to complete the form successfully.

1. Click ‘Get Form’ button to access the Sizwe Chronic Application Form 2020 and launch it in your preferred online editor.
2. Begin with Section A, which must be completed entirely by the patient or principal member. Ensure to provide all required details, including membership number, surname, patient’s details, date of birth, address, email address, and telephone numbers. Any incomplete information in this section will prevent processing of the application.
3. Once Section A is finished, Sections B-E will need to be filled out by a doctor. Ensure that the doctor has completed these sections to facilitate efficient processing. This includes providing the General Information in Section B, which requires details like weight, height, smoking status, and allergies.
4. In Section C, the doctor must input clinical information about the patient’s chronic condition, including any diagnostic tests. Ensure to attach any relevant documents, such as pathology results or other necessary reports.
5. Move on to Section D, where the diagnosis code, medication name, dosage, and any changes to previous medication must be recorded under the doctor’s guidance.
6. Finally, Section E requires the doctor’s details, including surname, initials, practice number, and specialty. The doctor will need to provide their signature and date to authenticate the application.
7. After reviewing all sections for accuracy and completeness, save the changes. You can then download the completed form, print it for mailing, or share it as needed. Remember to send the signed application to the designated fax number or email address provided.

Complete your application online today to ensure timely processing.