Profmed medical aid scheme application form, available in English and Afrikaans. Application forms must be submitted to either fax 012 679 4439 or e-mailed to firstname.lastname@example.org, together with all the necessary documentation.
Complete Online Application
Download English Version [107KB]
Download Afrikaans Version [141KB]
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Profmed is an Authorised Financial Services Provider: FSP no. 43918