Loading
Get Bestmed Chronic Application Form 2020
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Bestmed Chronic Application Form 2020 online
Completing the Bestmed Chronic Application Form online can streamline the process of obtaining chronic medicine benefits. This guide will provide you with clear instructions on how to accurately fill out each section of the form, ensuring that you meet the necessary requirements for processing your application.
Follow the steps to successfully complete the application form.
- Press the ‘Get Form’ button to access the document and open it in your editor.
- Fill in the details for the principal member in Paragraph 1. This includes the surname, initials, date of birth, membership number, and contact information.
- Complete Paragraph 2 with the patient's information, such as surname, date of birth, height, weight, and smoking status.
- In Paragraph 3, provide the patient’s consent, ensuring the patient understands that their information will remain confidential.
- Paragraphs 4 to 6 require the input of a medical practitioner. Ensure they fill out the clinical questionnaire and provide necessary medical reports.
- Choose the appropriate medical conditions the patient suffers from in Section A. Mark with an X where applicable and ensure all relevant medical reports are attached.
- For psychiatric conditions, ensure a psychiatrist completes the relevant section, providing diagnosis, ICD-10 codes, and treatment history.
- Review all sections for completeness. Incomplete applications will not be processed, so make sure all fields are properly filled out.
- Save your changes and download the completed form. You can also print it for your records.
- Submit the completed application via email to medicine@bestmed.co.za, fax to 012 472 6760, or post to PO Box 2297, Pretoria, 0001.
Start your application now to ensure timely processing of your chronic medicine benefits.
To email Compcare chronic, you should send your inquiries to their official email address listed on their website. Be sure to include relevant information such as your case number or details about your Bestmed Chronic Application Form 2020 for a more efficient response. This helps them address your concerns promptly and accurately.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.