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Sizwe Medical Fund is administered by 3Sixty Health (Pty)Ltd. For General Enquiries - Monday to Friday | 8am - 5pm Tel: 0860 100 871 Email: [email protected]
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For General Enquiries - Monday to Friday | 8am - 5pm Sizwe …profconsure.co.za/wp-content/uploads/2019/11/Application... · 2019-11-22 · Sizwe Medical Fund is administered by 3Sixty

Jun 02, 2020

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Page 1: For General Enquiries - Monday to Friday | 8am - 5pm Sizwe …profconsure.co.za/wp-content/uploads/2019/11/Application... · 2019-11-22 · Sizwe Medical Fund is administered by 3Sixty

Sizwe Medical Fund is administered by 3Sixty Health (Pty)Ltd. For General Enquiries - Monday to Friday | 8am - 5pmTel: 0860 100 871 Email: [email protected]

Page 2: For General Enquiries - Monday to Friday | 8am - 5pm Sizwe …profconsure.co.za/wp-content/uploads/2019/11/Application... · 2019-11-22 · Sizwe Medical Fund is administered by 3Sixty

Sizwe Medical Fund is administered by 3Sixty Health (Pty)Ltd. For General Enquiries - Monday to Friday | 8am - 5amTel: 0860 100 871 Email: [email protected] Medical Fund is administered by 3Sixty Health (Pty)Ltd. For General Enquiries - Monday to Friday | 8am - 5pmTel: 0860 100 871 Email: [email protected]

Page 3: For General Enquiries - Monday to Friday | 8am - 5pm Sizwe …profconsure.co.za/wp-content/uploads/2019/11/Application... · 2019-11-22 · Sizwe Medical Fund is administered by 3Sixty

Sizwe Medical Fund is administered by 3Sixty Health (Pty)Ltd. For General Enquiries - Monday to Friday | 8am - 5amTel: 0860 100 871 Email: [email protected] Medical Fund is administered by 3Sixty Health (Pty)Ltd. For General Enquiries - Monday to Friday | 8am - 5pmTel: 0860 100 871 Email: [email protected]

Cardiovascular ConditionsHeart failure, hypertension, shortness of breath(angina), high blood pressure Respiratory ConditionsAsthma, COPD Chronic obstructive pulmonary disease, tuberculosis, bronchitis

Neurological ConditionsStroke, epilepsy, paralysis, weakness, myasthenia gravis

Grastro Intestinal ConditionsGastric/ duodenal ulcer, liver disorder, hepatitis, hiatus hernia, gal bladder stones, pancreatitis

Genito Urinary ConditionKidney stones, prostatic hypertrophy, renal failure glomerolonephros, STI’s (including HIV)

Endocrine ConditionsDiabetes insipidus, thyroid disorders, addison’s disease, diabetes mellitus, osteoporosis

Blood ConditionsAnaemia, blood clotting problems, deep vein thrombosis, leukaemia, lymphoma

Gynaecological & Obstetric ConditionsAbnormal papsmear, abnormal bleeding pregnancy, miscarriage, polycystic ovarian

Mental Health ConditionsDepression, dementia, bipolar disorder, ADHD

Musculoskeletal (back, bone, muscle pain)Arthritis, sarcoidosis, �bromyalgia, ankylosing spondylitis, sjogren’s syndrome

Tumour & GrowthsBreast lumps, cancer, abnormal papsmear, abnormal mogram results, prostate speci�c antigen (PSA)

Ear, Nose and ThroatChronic otitis media, cochlear implant, sinus problems, adenoiditis, nasal surgery

Eyes ConditionsGlaucoma, squint, blurred vision, macular degeneration, ptosis, uveitis, retinal detachment

Are you or any of your dependants expecting to have medical investigations or surgery or planning hospitalisation or treatment in the next 12 months or have you been admitted to hospital in the last 12 months?

Page 4: For General Enquiries - Monday to Friday | 8am - 5pm Sizwe …profconsure.co.za/wp-content/uploads/2019/11/Application... · 2019-11-22 · Sizwe Medical Fund is administered by 3Sixty

Sizwe Medical Fund is administered by 3Sixty Health (Pty)Ltd. For General Enquiries - Monday to Friday | 8am - 5amTel: 0860 100 871 Email: [email protected] Medical Fund is administered by 3Sixty Health (Pty)Ltd. For General Enquiries - Monday to Friday | 8am - 5pmTel: 0860 100 871 Email: [email protected]

Page 5: For General Enquiries - Monday to Friday | 8am - 5pm Sizwe …profconsure.co.za/wp-content/uploads/2019/11/Application... · 2019-11-22 · Sizwe Medical Fund is administered by 3Sixty

SECTION 6

SECTION 7

Sizwe Medical Fund is administered by 3Sixty Health (Pty)Ltd. For General Enquiries - Monday to Friday | 8am - 5amTel: 0860 100 871 Email: [email protected] Medical Fund is administered by 3Sixty Health (Pty)Ltd. For General Enquiries - Monday to Friday | 8am - 5pmTel: 0860 100 871 Email: [email protected]

Page 6: For General Enquiries - Monday to Friday | 8am - 5pm Sizwe …profconsure.co.za/wp-content/uploads/2019/11/Application... · 2019-11-22 · Sizwe Medical Fund is administered by 3Sixty

SECTION 8

SECTION 9

Signature of Employer:

Sizwe Medical Fund is administered by 3Sixty Health (Pty)Ltd. For General Enquiries - Monday to Friday | 8am - 5amTel: 0860 100 871 Email: [email protected] Medical Fund is administered by 3Sixty Health (Pty)Ltd. For General Enquiries - Monday to Friday | 8am - 5pmTel: 0860 100 871 Email: [email protected]