Follow the steps to complete your form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in an editing platform.
2. Begin by selecting the type of paramedical service you are claiming. Options include acupuncture, chiropractic, physiotherapy, clinical psychology, massage therapy, naturopathy, osteopathy, speech therapy, and chiropody/podiatry. Please check the appropriate box next to the service.
3. In the Employee's Information Section, fill in your address, company name, policy number, certificate number, telephone number, and date of birth. Specify if the claim is for you or a dependent by indicating the relevant section.
4. Provide details about the reason for requiring paramedical services. Clearly describe the medical condition or situation necessitating treatment.
5. Document who recommended the treatment and their reasons for the recommendation.
6. Affirm the accuracy of your statements by signing and dating the form in the Employee's Signature field.
7. In the Attending Physician Statement Section, the physician will need to print their name, sign, and date the form. They also must provide their contact information and details regarding the patient's diagnosis and recommended treatment.
8. The Attending Paramedical Practitioner must complete their section with their name, address, registration number, and recommended treatments. They must also certify the truthfulness of the statements and understand the pre-approval requirement.
9. Finally, verify if the form requires any additional documentation or signatures, and ensure all information is complete.
10. Once the form is filled out, save your changes, and download, print, or share the form as necessary for submission to Beneplan.

Start filling out your PARAMEDICAL CLAIM FORM online today to ensure timely approval.