Emerald Value Network Hospital List
Cape Town Stepping Stones Treatment Centre Cape Town Tijger Clinic Cape Town Tyger Valley Clinic Cape Town West Beach Clinic Ceres Netcare Ceres Private Hospital Knysna Life Knysna Private Hospital Mossel Bay Life Bay View Private Hospital Paarl Sereno Clinic Vredenburg Life West Coast Private Hospital Worcester Pines Clinic (Pty) Ltd
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Membership application form
www.pggmeds.co.za2. Once saved, print the form and initial or sign each page where indicated. 3. Scan the signed application form together with your supporting documents and email to [email protected]; or 4. Fax the signed application form together with your supporting documents to 0861 00 4367. Your quick guide to becoming a member of GEMS 1.
Addition of dependants
www.pggmeds.co.zadivorce settlement or court. • A copy of the ex-spouse’s ID. Partner • A sworn affidavit, confirming that the dependant is the member’s life partner (the affidavit is to be completed both the main member and partner). • A copy of the partner’s ID. Child under the age of 21 (biological, adopted, step, foster child of the member or the
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