
Mrs Ms Miss Mstr Dr Preferred Name: d / m / y Gender: Male Female NHI: (if known) Residential address: Postal address: Email address: Telephone: Home New Zealand resident: Yes Work No Mobile If No, you are required to complete an Acknowledgement Form: Non NZ Resident (see website) NZ Address if visiting from overseas: Ethnicity: European / Maori / Pacific Island / Asian / Middle Eastern / Latin American / African / Other (Please circle one or more) General Practitioner:.
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How to fill out the Nhif Choosing Hospital Online online
Filling out the Nhif Choosing Hospital Online form is an essential step for users seeking admission to Gillies Hospital. This guide will provide clear instructions to help you navigate the form with ease and accuracy.
Follow the steps to complete the online admission form effectively.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Fill in your personal and administration details. Include your surname (family name), first name(s), preferred name, and date of birth in the designated fields. Select your gender and provide your National Health Index number, if known. Include both your residential and postal addresses, along with your email address and contact numbers.
- Indicate if you are a New Zealand resident by selecting 'Yes' or 'No'. If you select 'No', ensure to complete the ‘Acknowledgement Form: Non NZ Resident'. If applicable, provide your New Zealand address if you are visiting from overseas.
- Select your ethnicity by circling one or more options from the provided categories. Fill in your general practitioner’s contact details and any surgeon associated with your admission.
- Complete the next of kin/contact person section by entering their name, relationship to you, address, and contact numbers.
- In the payment details section, indicate how your procedure will be paid by ticking the relevant payment options and filling in any required information such as your insurance company and policy number.
- If you are using a credit card for payment, complete the credit card authorization section by providing your card type, number, expiry date, and name on the card. Sign to indicate your understanding of the terms.
- Review the agreement section and ensure you understand the obligations related to payment and authorization. Complete the final fields, including your name, signature, and the date, or indicate your relationship to the patient if you are not the patient.
- Once all sections are completed and verified, you can save changes, download, print, or share the completed form as needed.
Start completing the Nhif Choosing Hospital Online form now and secure your admission efficiently.
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How do I select NHIF facility online?
Enter your ID Number then click on continue. You will be prompted to enter One Time Pin(OTP) that will be sent to your mobile phone number. ... While in NHIF Selfcare dashboard click on Change Outpatient Facility as shown below:
How do I check my NHIF outpatient hospital online?
Visit the NHIF website on your phone or computer. If this is your first time visiting the portal, you will begin by registering. ... If you are already registered, you can log in to the self-service portal using the username and password that you provided during registration.
How can I select NHIF outpatient hospital using my phone?
Members can choose, change, or confirm their existing out-patient hospital every quarter by dialing the USSD *155# or by downloading My NHIF App available on mobile app stores or through our self-help portal on the website.
How do I select a hospital for NHIF?
Hello Member, kindly select your choice of hospital/ facility using your feature phone (mulika mwizi) by dialing *155#, the Mobile App "My NHIF" that is available on Play Store/Apple Store and/ or the self-care portal on our website http:// www.nhif.or.ke/healthinsurance/nhi selfcare/.
How do I know my NHIF outpatient hospital?
Members can choose, change, or confirm their existing out-patient hospital every quarter by dialing the USSD *155# or by downloading My NHIF App available on mobile app stores or through our self-help portal on the website.
How many outpatient hospitals are there in NHIF?
This means that members will be free to access more than 2,000 hospitals accredited to the NHIF including the high-end facilities like Aga Khan hospital, Nairobi Hospital and Karen Hospital.
When should I change my NHIF outpatient hospital?
With the advent of technology and emergence of Covid-19 NHIF has introduced Selfcare platforms which allow members to choose new, confirm existing or change preferred outpatient hospitals for themselves and their dependents. The deadline for changing outpatient facility has been extended to May 15, 2020.
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