PRE-AUTHORISATION (Dental)

ONLINE REQUEST FORM

Getting Dental pre-authorisation from the Scheme is probably one of the easiest ways to gain seamless access to your benefits and avoid unnecessary delays. Because we like to empower our members and make it as effortless as possible for you to gain access to your benefits, we've made the process as easy as possible. Simply complete the form below and our team will be in touch quicker than you can say quality healthcare cover.

Name *
Name
Patient's date of birth
Patient's date of birth
Patient's telephone number
Patient's telephone number
Hospital telephone number
Hospital telephone number
Doctor's telephone number
Doctor's telephone number
Date of admission
Date of admission