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  • Polmed Tax Certificate 2020

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Rs: Other: Initials: Surname: First names: Date of birth: Genesis membership number: Residential address: (Chosen domicilium citandi et executandi) Postal code: Email address: B. Dependant Information For relationship, please state spouse, partner, son, daughter or other. Title: Initials Initials Surname: First name(s): Relationship to Applicant: ID no. /Passport no.: (Please include copy of passport) Date of Birth / Gender: Family Doctor: Telephone: Code: Number: C. Previous Medi.

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You or your treating doctor can call POLMED to obtain pre-authorisation for your chronic medication. Note: Notify the courier pharmacies directly about any address updates to avoid delays in the delivery of your medication. Ensure your doctor prescribes items on the medication formulary to avoid a 20% co-payment.

You may change your plan online at .polmed.co.za. You simply need to log in to the Member Zone to access this facility. PLEASE NOTE: This form should only be completed should you wish to change your plan.

polmedauths@medscheme.co.za Polmed has an agreement with the Administrator whereby we monitor their level of service offered to members.

If you paid for a service directly and want to request a member refund, you need to submit your proof of payment (receipt or bank deposit slip) together with the service provider's account that displays a zero balance for the claim. Obtain a detailed account/statement from the service provider.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232