Brochures and Forms

HIV YourLife Programme:


HIV YourLife Programme member booklet

HIV YourLife Programme brochure

HIV YourLife Programme application form

HIV pre-exposure prophylaxis (PREP) application form

HIV post-exposure prophylaxis (PEP) application form

HIV Counselling and Testing (HCT) consent form


Hospital Risk Management:


Hospital Risk Management Brochure

Wound care authorisation form


Medicine Risk Management:


Medicine Risk Management Reference Guide


Pre-authorisation forms for biopharmaceuticals used in arthritic conditions:

Ankylosing Spondylitis: Initial Form

Ankylosing Spondylitis: Follow up Form

Juvenile Idiopathic Arthritis: Initial Form

Juvenile Idiopathic Arthritis: Follow up Form

Psoriatic Arthritis: Initial Form

Psoriatic Arthritis: Follow up Form

Rheumatoid Arthritis: Initial Form

Rheumatoid Arthritis: Follow up Form


Disease Risk Management


Disease Risk Management Brochure - Provider

Disease Risk Management Brochure - Member


Manufacturer Drug Application Forms


All pharmaceutical benefit management services have been outsourced to a third party, Mediscor.


Please direct all applications for: 

  • new medication
  • new medication indications
  • medication appeals 

to the Mediscor Pharmacy and Therapeutics Committee at [email protected] 


Maternity Programme:


Maternity Programme Brochure - Provider

Maternity Programme Brochure - Member


Oncology Risk Management


Oncology Risk Management Brochure - Provider

Oncology Risk Management Brochure - Member


SAOC Authorisation Form