Vivamed – For The People

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Application to partake in VIVAMED's prepaid basic subsidized health care service

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Banking Details

Account Name: Vivamed
Bank: FNB
Bank Code: 261 050
Account Number: 6288 795 0676

Please email proof of payments to: info@vivamed.africa

Download
Application Form

Please save the PDF to your device, once you fill out the form save your changes and email back to us at info@vivamed.africa

Contact Us

Doctor Network

Dr C Plaatjies, Dr G Kortje
229 Main Road Walmer
Practise Number: 0911518
Tel: 041 450 2530

Dr E Johann Biermann
59 Winchester Way, Summerstrand
Practice number: 402811
Tel: +27 41 583 8069

Customer Care Line

  • +27 12 668 3019

Complaints/Queries to

Head Office

Caldera Forms has been closed as of April 5, 2022 and is not available for download. You can try the other Form plugins instead