Please complete this form so that we can better support you through your COVID-19 Vaccine Journey.
All beneficiaries (main members and adult dependants) need to complete this form.
Thank you. We have received your information
You have selected to be vaccinated at a Department of Health site, i.e. GP or Pharmacy. When you are eligible and register to be vaccinated (as part of the phased roll-outs) via EVDS, the NDoH will schedule your appointment.
You have selected to be vaccinated at a Medscheme site. Medscheme or its affiliate, Wellness Odyssey, will be in contact to schedule your appointment.
You have selected to be vaccinated at an Employer site. Your employer, if arranging on-site vaccinations, will be in contact to schedule your appointment.
Take note: This form does not replace the National Department of Health (NDoH) Electronic Vaccination Data System (EVDS). When you are eligible to be vaccinated as part of the NDoH phased roll-out plan, go to: https://vaccine.enroll.health.gov.za/#/
Please keep this QR code and bring it along on Vaccination day
To save your QR code, right click on the above image and then select save. You will also receive an SMS with your QR code number
If you are using a mobile device, you can take a screenshot of this screen.
Please click on this button to make your booking