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KYC

Fill in our online KYC form with your information selecting the service that you are interested in. After submission a member of our staff will contact you with further information.

Client Type *

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Select Service *

Medical Scheme Administration
Chronic Condition Monitoring
Ambulance Services
Pharmacy
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Fumigation & Decontamination
Funeral Plan

Organization *

Physical Address *

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Address Line 2

City

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Email *

Staff Members *

Enter the number of members of staff you have in your organization

Beneficiaries / Staff Member *

Enter the number of beneficiaries per staff member

Ambulance Deployment *

Local Travel
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Medical Condition Selection *

Diabetes
Hypertension
Others

Select the condition you would like us to monitor

Drug Selction *

List the drugs you want

Medlink Zambia Limited

Address:Mount Building, First Floor Unit 4, Eastern Wing Plot 34810, Thabo Mbeki Road Lusaka, Zambia
Phone:+260 211 446 500
Email:info@medlink.co.zmOpens in your application

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