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D provider telephone: 0860 00 4367 Only complete this form if you are a fully registered member of GEMS Section A: To be completed by the member (please print using block letters) Please book at least 30 minutes with your doctor in order for him/her to examine you and complete this form. The ideal person to do this is the registered doctor who regularly prescribes your medicine. Please keep a copy of the completed form for your records. Member/patient signature is essential to process this app.

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How to fill out the Gems Chronic Forms online

Filling out the Gems Chronic Forms online is an essential step for users seeking access to chronic medicine benefits. This guide will walk you through the process, ensuring that each section of the form is completed accurately and efficiently.

Follow the steps to successfully complete your Gems Chronic Forms.

  1. To obtain the Gems Chronic Forms, click the ‘Get Form’ button to access the document.
  2. Begin by completing Section A, which requires personal details of the principal member. Fill in the surname, title, member number, medical scheme option, and full first name. If the patient differs from the principal member, provide their details as well.
  3. Ensure that you have allocated at least 30 minutes to meet with your registered doctor, who will complete the necessary sections and provide a signature. Remember to keep a copy of this form for your records.
  4. In Section A, also input the required personal information including date of birth, telephone numbers, fax number, postal address, and email. It is crucial to review this information for accuracy.
  5. In Section B, to be completed by the attending doctor, ensure they print and fill out their details clearly. This includes their surname, initials, practice number, postal address, contact information, and qualification.
  6. The attending doctor will need to provide a clinical examination, including gender, weight, height, blood pressure, and relevant medical history, which must be documented accurately.
  7. In Section C, the doctor should detail the diagnosis and the medicines for which authorization is requested. Ensure they check to see if supporting documentation is required for specific conditions.
  8. In Section D, where applicable for hyperlipidaemia, the doctor will supply necessary motivations and any relevant laboratory results along with signatures.
  9. Section E requires information about the preferred method of delivery for medications. Fill in the delivery method along with any relevant details about the alternate person who may sign for the delivery.
  10. Ensure that you provide confirmation of preference regarding generic equivalents and the payment methods you wish to use, listed in Section E.
  11. Finally, save the completed form, ensuring to download or print it if needed. Submit the form via fax, post, or email as indicated in the instructions, and retain a copy for your records.

Take action now and fill out your Gems Chronic Forms online to ensure you receive the benefits you need.

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GEMS was registered on 1 January 2005 specifically to meet the healthcare needs of Government Employees.

A medication was considered chronic if prescribed for 30 days or longer.

• Chronic medicine: To be authorised via the Chronic. • Oncology management: Register member by. 0861 00 4367 or email enquiries@gems.gov.za. • Attach all relevant special investigations and lab. • Submit form via fax 0861 00 4367 or email. enquiries@gems.gov.za.

You need a prescription from your doctor every 6 months If you are registered for a chronic condition that requires you to take chronic medication, you need to visit your doctor at least every six months, so he or she can see how you are doing on your chronic medication.

Q: What is Chronic medication? A: Medication that is taken on a daily basis for a period exceeding 6 months is defined as Chronic medication.

(KRAH-nik dih-ZEEZ) A disease or condition that usually lasts for 3 months or longer and may get worse over time. Chronic diseases tend to occur in older adults and can usually be controlled but not cured.

Acute medication is meant to be used for a short amount of time in order to treat an illness or condition that is short-term, usually less than a month. Whereas chronic medication is meant for several months to years.

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