Day1 Health Doctor Online Application Form 1Doctor Health wishes to identify any willing and able providers to render quality and cost-effective services as non-exclusive designated service providers on behalf of all our clients to members on the 1Doctor Health Options.Practice DetailsGPDentistDo you require us to install Synaxon in your practice (at no cost)? YesNoAre you a Scripting Practice? YesNoAre you a Dispensing Practice? YesNoPhysical Address- select an option -Eastern CapeFree StateGautengKwaZulu-NatalMpumalangaNorth WestNorthern CapeWestern CapePostal Address- select an option -Eastern CapeFree StateGautengKwaZulu-NatalLimpopoMpumalangaNorth WestNorthern CapeWestern CapePractice Contact DetailsBanking DetailsSupporting DocumentsCancelled Cheque Or Stamped Bank LetterProof of Practice physical addressBHF Registration ConfirmationID DocumentHPCSA Registration ConfirmationLicense to DispenseSubmit
