Auto Statement Application/Termination

To register or implement auto-statements for a new or existing pharmacy or pharmacy group with MediKredit:

  • Download the Application or Termination form
  • Complete the fields
  • Upload the completed form
  • Forward the form by selecting the pharmacy management software vendor email address 

For further assistance contact our Customer Care enquiry line on +27 (0) 860-932-273

Pharmacy Provider: Auto Statement Application/Termination

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Application Type*
Name & Surname*

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Upload completed application form
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