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.

    Road Accident Fund: BHF Copyright to PCNS

  • Regulation 5 in terms of the Medical Schemes Act 131 of 1998 stipulates that all healthcare providers who issue accounts to members of medical schemes must include their practice code numbers on their accounts. Click here to view the Road Accident Fund letter.

Application Forms

  • All application forms must be accompanied by the relevant documentation listed on each application form.
  • For Health Professions Council of South Africa (HPCSA) practitioners

  • Application Form for General Practitioners
  • Application Form for HPCSA Specialist Practitioners
  • Application Form for HPCSA Professions
  • Application Form for Dental Therapists, Medical Technologist and Diagnostic Radiographers
  • Application Form for Optometry and Optical Dispensers

    For Allied Health Professions Council of South Africa (AHPCSA) practitioners

  • 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

    For South African Pharmacy Council (SAPC) practitioners

  • Application Form for a Pharmacy
  • Application Form for a PCDT Pharmacist
  • For Dental Technicians Council of S.A. practitioners

  • Application Form for Dental Laboratories

    For Hospice Palliative Care Association of S.A. facilities

  • Application Form for a Hospice

    For South African Nursing Council (SANC) practitioners

  • Application Form for Registered Nurses

    For South African Council for Social Service Professions(SACSSP)

  • Application Form for Social Workers

    For Facilities or Institutions

  • Application Form for Mental Health Institutions
  • Application Form for Provincial Hospitals

    For Ambulance Services

    Advanced Life Support

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

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

  • Inspection Letter for Basic Life Support
  • Ambulance Criteria for BLS
  • Checklist for Basic Life Support

    For 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

    For Clinics

  • Inspection Letter for Day Clinic or UOTU
  • Questionnaire for a Day Clinic or Unattached Operating Theatre Unit
  • Criteria for awarding a Day Clinic or Unattached Operating Theatre Unit

    For Medical Device Suppliers

  • Application Form for Device Supplier

    For Rehab Centres

  • Inspection Letter for a Physical Rehab Centre
  • 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

    For Sub-Acute Facilities

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

    ...


    Copyright © 1999 - 2007 Board of Healthcare Funders of Southern Africa. Client Services: 0861 30 20 10
    All rights reserved. User Agreement.