Get My Medihelp Application Form 2015 - Class Med

Completing the My Medihelp Application Form 2015 - Class Med can be a straightforward process if approached step-by-step. This guide will provide you with the necessary instructions to fill out the form accurately and efficiently online.

Follow the steps to complete your application form successfully.

1. Click ‘Get Form’ button to access the application form and open it for editing.
2. Begin by providing the date from which you require membership. Accurate dates are crucial to ensure timely processing.
3. Fill in your details as the applicant. This includes your ID or passport number, title, surname, initials, first names, gender, marital status, and date of birth. If using a passport number, attach a copy of your passport.
4. Provide your contact details, including postal address, residential address, telephone numbers, cell number, and email address.
5. If applicable, complete the section detailing your employer's information, including their name, contact person for the account, and details of your employment.
6. Choose your benefit option by selecting one of the available options marked with an ‘X’. Make sure to follow any specific instructions related to your selection.
7. Provide details about your dependants you wish to register. This includes their names, ID or passport numbers, dates of birth, and relationships to you.
8. Fill out your banking details, authorizing Medihelp to debit monthly subscriptions from your account. Ensure you provide all necessary banking information.
9. Complete the previous/current membership section by detailing any other medical schemes you've been enrolled in, as required.
10. Answer the medical questionnaire carefully. All questions must be answered accurately to avoid issues with your application.
11. Review the conditions of membership and signature requirements. Ensure that you read and understand these conditions before signing.
12. Once completed, you can save changes, download the form for your records, print a copy, or share it as necessary.

Complete your My Medihelp Application Form online today for a seamless experience.