Select Page

Provider Sign-up Request

Sign up now by selecting the value-add provider option that works best for you.

Provider Options

Provider Options*


I am aware that this is a request only and give my consent that the information supplied be used to pre-populate information onto the mediBucks provider agreement for my final approval and signature.

This field is for validation purposes and should be left unchanged.

Copyright© 2021 Universal Healthcare (Pty) Ltd. / Made with ❤︎ by Universal Healthcare


Privacy Policy