APPLICATION FORM
Everyone who would like to join Compcare Wellness (in their own capacity or as part of an employer group) needs to complete an application form.
Click here to download the membership application form in Adobe PDF format.
Once you've downloaded and printed the application form, please complete all the fields as accurately as possible using a quality black pen.
Please attach the following documents to the application form:
- Latest salary advice / payslip
- Previous medical scheme membership certificates
- Copy of ID’s for adults and birth certificates for children
- Marriage certificate
- An affidavit should surnames differ or a common law spouse or partner are added as dependant
- Adopted children –legal documentation to be provided
- Student certificate and / or proof of registration from the university or college if a child dependant is studying.
Although we accept faxed copies as an interim
measure, the original application form must be received
by Compcare to complete the application process.
Fax numbers for applications: (011) 803 7847
Postal Address for application forms:
- Attention: Membership Department
- Compcare Wellness Medical Scheme
- Private Bag X49
- RIVONIA
- 2128
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