Get Africa Wellness Solutions

Filling out the Africa Wellness Solutions claim form can be a straightforward process when you know the steps to take. This guide will provide comprehensive instructions to help you complete each section accurately and efficiently.

Follow the steps to successfully complete your claim form

1. Press the ‘Get Form’ button to access the claim form, ensuring you have the document ready for filling out.
2. Begin with Section A, which needs to be filled out by the insured person or their legal guardian. Provide the full name, title, postal address (indicate if it is a recent change), contact number, email address, nationality, and date of birth.
3. Continue in Section A to answer whether this is your first claim for the medical condition, if you are claiming for cash benefit, and whether the injury or illness is a result of an incident.
4. Indicate if you have other insurance for this type of claim and briefly describe the medical symptoms or event for which you are claiming. Include details about the duration of these symptoms prior to contacting your doctor.
5. In Section A, provide a list of expenses you are claiming, stating the currency and amount paid for each, along with dates of treatment.
6. If you wish for the settlement to be paid directly into your account, include the account holder's name, bank name, branch name, account number, sort code, and bank address along with the SWIFT code or IBAN number.
7. Complete the declaration at the bottom of Section A by signing and dating the form to confirm that the information provided is true and complete.
8. Move on to Section B, which requires completion by the treating doctor or dentist. This section includes providing a description of symptoms and the date of onset, along with treatment outlined for the patient.
9. The doctor must state whether the patient has previously received treatment for the condition and provide information regarding any referrals made.
10. Ensure that the doctor provides their signature, practice stamp, and contact information before finalizing the submission.
11. For claims associated with dental treatment, ensure that it is completed by a qualified dentist, including all necessary details regarding the treatments performed.
12. After verifying that all sections of the form are filled out correctly, you may save the changes, download, print, or share the completed form.

Start completing your claim form online today to ensure a smooth processing experience.