Forms
- Application for Membership Form [English | Afrikaans]
Complete the member application form to join NIMAS. Submit the completed form to fax 0861 888 822 or [email protected].
- Application for member record amendment for dependant(s) [English | Afrikaans]
If you wish to change your details, please complete the record amendment form. Submit the completed form to fax 0861 888 822 or [email protected].
- Medicine Risk Management application form [English | Afrikaans]
NIMAS provides cover for 26 specified chronic conditions, referred to as the Chronic Disease List (CDL), on all options. If you are on the Supreme, Millennium or Classic option and you or one of your dependants suffer from a chronic condition, you must apply to the Medicine Risk Management programme to obtain approval for chronic medication. Submit the completed form to fax 0861 888 819.