Application Forms

Application for a Practice Number

    Why a Practice Number

    A practice number is allocated to all registered healthcare providers providing services to private patients. It is essential in the process of reimbursement of a claim to either a medical scheme member or a service provider. This is in accordance with the requirement of the Medical Schemes Act 131 of 1998 wherein it is stated that a medical scheme may only reimburse a member or a provider of relevant healthcare services for services rendered against a valid practice code number.

    Application Forms

  • All application forms must be accompanied by other relevant documentation. Please click here to view the list of requirements

    Health Professions Council of South Africa (HPCSA)

  • Application Form for General Practitioners
  • Application Form for Specialists
  • Application Form for Auxiliary Disciplines
  • Application Form for Dental Therapists, Medical Technologist and Diagnostic Radiographers
  • Application Form for Optometry and Optical Dispensers

    Allied Health Professions Council of South Africa (AHPCSA)

  • Application Form for AHPCSA Registered Disciplines

    For all Partnerships, Associations or Incorporated Practices (Any discipline)

  • Application Form to form a Partnership, Association or Incorporated Practice

    South African Pharmacy Council (SAPC)

  • Application Form for a Pharmacy
  • Application Form for a Radiopharmacist
  • Application Form for a Clinical Pharmacokineticist

    Dental Technicians Council of S.A.

  • Application Fom for Dental Laboratories

    Hospice Palliative Care Association of S.A.

  • Application Form for a Hospice

    South African Nursing Council (SANC)

  • Application Form for Registered Nurses

    South African Council for Social Service Professions(SACSSP)

  • Application Form for Social Workers

    Facilities or Institutions

  • Application Form for Mental Health Institutions
  • Application Form for Primary Drug Care Therapists
  • Application Form for Provincial Hospitals

    Ambulance Services

    Advanced Life Support

  • Ambulance Criteria for ALS
  • Checklist for Advanced Life Support
  • Intermediate Life Support

  • Ambulance Criteria for ILS
  • Checklist for Intermediate Life Support
  • Basic Life Support

  • Ambulance Criteria for BLS
  • Checklist for Basic Life Support

    Private Hospitals

    B Status Hospital

  • Inspection Letter for Private Hospital B Status
  • Criteria for a B Status Hospital
  • Questionnaire for a B Status Hospital

    A Status Hospital

  • Inspection Letter for Private Hospital A Status
  • Criteria for a A Status Hospital
  • Questionnaire for a A Status Hospital

    Clinics

  • Questionnaire for Completion by a Day Clinic or Unattached Operating Theatre Unit
  • Criteria for awarding a Day Clinic or Unattached Operating Theatre Unit
  • Application Form for an Unattached Operating Theatre and Day Clinic

    Device Suppliers

  • Application Form for Device Supplier

    Rehab Centres

  • Criteria for awarding Acute Physical Rehabilitation Unit Status
  • Questionnaire for completion by a Private Hospital Applying for Comprehensive Physical Rehabilitation Unit Status
  • Application Form for Drug and Alchol Rehab Centres

    Sub-Acute Facility

  • Criteria for awarding the status of an approved Private Sub-Acute Facility with a 49 Practice Number
  • Application for an Inspection: Sub-Acute Specialised Unit

    Tissue Transporters

  • Application Form for Tissue Transporters

    ...


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