Please click on the links below to view and print the relevant forms:

  • MEMBERSHIP keyboard_arrow_down
    Contact Details of Dependants over the age of 18 (This form can be completed and saved electronically, so there is no need to print it.)
    Membership application (This form can be completed and saved electronically, so there is no need to print it.)
    Change in member/dependant status (This form can be completed and saved electronically, so there is no need to print it.)
    Affidavit for partner (This form can be completed and saved electronically, so there is no need to print it.)
    AFFIDAVIT FOR CHILD DEPENDANT (This form can be completed and saved electronically, so there is no need to print it.)
    Affidavit for child dependant (with different surname to principal member) (This form can be completed and saved electronically, so there is no need to print it.)
    Affidavit for member's parents (This form can be completed and saved electronically, so there is no need to print it.)
    MEMBER CONSENT FORM (This form can be completed and saved electronically, so there is no need to print it.)
    APPLICATION FOR EX-GRATIA ASSISTANCE (This form can be completed and saved electronically, so there is no need to print it.)
  • PROGRAMME ENROLMENT keyboard_arrow_down
    Palliative care application form
    Chronic medication application form
    PMB Care Plan application form
    Application for nursing/frail care benefits
  • AUTHORISATION keyboard_arrow_down
    Palliative care application form
    HOSPITAL PRE-AUTHORISATION form