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DOWNLOAD CENTRE

Here are your most important Medshield forms for easy download.

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Scheme Forms

• MEM01 – Medshield Membership Application
• MEM02 – Amendment of Records
• MEM03 – Statement of Common Law Partnership
• MEM04 – Statement of Official Declaration
• MEM05 – Member Bank Detail Declaration
• MEM11 - Request for Savings Refund
• Ex Gratia Application Form
• Chronic Medication Application Form

PHARMACY APPLICATION

• Chronic Medicine Dispensary Application Form
• Pharmacy Direct Application Form
• CLICKS-Direct Medicine Application Form

SCHEME DEMOGRAPHICS

• Medshield Demographics as at  30 October 2009
• Medshield Demographics as at  31 December 2009
  

2011 DSP PHARMACY LISTINGS

• Individual Pharmacy
• Clicks Retail Pharmacies
• Dischem Pharmacies
• MediRite Pharmacies
• ScriptSaver Pharmacies

Medshield Distribution Services