Practice sign-up

To join this exciting network of forward-thinking practices, simply complete the application form below. You will then be directed to a page where you can upload required documentation.
Once complete, one of our consultants will send you a Service Level Agreement, as well as provide a marketing pack and training. If all required information is provided, your practice will have access to our network within 48 hours.

Click here to download an application form for manual submission.
To view or download our FAQ please click here.
For a step by step tutorial click here, or for any queries please send a mail to to partners@mediwallet.co.za