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Add A Pet

Step 1 of 3 - You and Your Pet

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First Name*
Surname*
Email*

We will send your policy documents to this address
New Pet Name*
Date of Birth*
DD slash MM slash YYYY

If your pet is younger than 6 weeks old, please wait for them to grow a little before coming back to add them to your cover. All dogs between the ages of 8 & 9 and cats 9 years & over are subject to a complete vet history when joining Ultimate or Essential. All dogs over 9 years of age are offered Lite or Accident plans which have no age maximums, not Ultimate or Essential.
Cat or Dog*
- Dog
- Cat
Breed of Dog*
Breed of Cat*
Gender*
- Male
- Female
Is your pet sterilised? (Optional)
- Yes
- No
Policy No:*

This is your existing policy number for your current policy with MediPet.
Cover option for your pet*
- Ultimate
- Essential
- Lite
- Accident
Ultimate: Worry-free, comprehensive cover for accidents, illness, holistic wellness, & additional benefits for complete peace-of-mind, within R50 000 annual maximum
Essential: Worry-free comprehensive cover for accidents, illness & holistic wellness, within R50 000 annual maximum
Lite: Limited, affordable accident & illness cover for all ages including pre-existing conditions (up to 4 claims a year, maximum R13 760 per claim) within R35 000 annual maximum
Accident: Basic, unforeseen accident cover, without waiting periods, within R25 000 annual maximum
Cover option for your pet*
- Ultimate
- Essential
- Lite
- Accident
Ultimate: Worry-free, comprehensive cover for accidents, illness, holistic wellness, & additional benefits for complete peace-of-mind, within R50 000 annual maximum
Essential: Worry-free comprehensive cover for accidents, illness & holistic wellness, within R50 000 annual maximum
Lite: Limited, affordable accident & illness cover for all ages including pre-existing conditions (up to 4 claims a year, maximum R13 760 per claim) within R35 000 annual maximum
Accident: Basic, unforeseen accident cover, without waiting periods, within R25 000 annual maximum
Cover option for your pet*
- Accident Only
- Lite
Accident Only: Basic, unforeseen accident cover geared towards our golden oldies.
Lite: Limited, affordable cover for accidents and illness.
Top Pet Routine Care Add-Ons
- Top Pet Routine Care Add-On: R65 pm or R780 per year
  R1 100 per year preventative cover towards vaccinations, tick/flea & deworming, microchipping & sterilisation.
- Top Pet Double Up Routine Care Add-On: R130 pm or R1 560 per year
  R2 200 per year preventative cover towards vaccinations, tick/flea & deworming, microchipping & sterilisation.
Premium Saver
- Opt in for R1 000 flat excess on all general, specific & dental claims, for 7.5% discount on premium
- Opt in for R2 000 flat excess on all general, specific & dental claims, for 15% discount on premium
Has your pet been adopted or rescued within the last 6 months?*
- Yes
- No
Pets joining Essential or Ultimate plans over the age of 6 months at the time of adoption, and without a complete vet record, are temporarily offered cover limited to R3 000 for the first 6 months after joining. This would not apply in the case of an accident during this period.

You selected the Accident plan which means we do not require your pet's vet history.

Please click the Next to Vet Contact button below to continue.
You selected the Lite plan which means we do not require your pet's vet history.

Please click the Next to Vet Contact button below to continue.
Has your pet ever been to the vet for medical reasons?*
- Yes
- No
We do not require routine care visit histories. These include vaccinations, sterilisations, deworming, tick & flea control, and microchipping.

Details of Visit

Approximate Date of Visit	Details of Visit to Vet	Has your pet fully recovered from this event?	Actions
			Edit Delete
There are no Entries.

Maximum number of entries reached.

Does your pet take any medication?*
- Yes
- No
Include any supplements and naturopathic/homeopathic substances.

Add information regarding Medication

Details of and reason for medication?	Has your pet fully recovered from the condition requiring medication?	Actions
		Edit Delete
There are no Entries.

Maximum number of entries reached.

Eye/Ear Conditions*
- Yes
- No

Add information regarding Eye/Ear Conditions

Date	Description of condition	Has your pet since fully recovered?	Actions
			Edit Delete
There are no Entries.

Maximum number of entries reached.

Lameness?*
- Yes
- No

Add information regarding Lameness

Date	Description of condition	Has your pet since fully recovered?	Actions
			Edit Delete
There are no Entries.

Maximum number of entries reached.

Vomiting/Diarrhoea?*
- Yes
- No

Add information regarding Vomiting/Diarrhoea

Date of visit?	Has your pet fully recovered?	Actions
		Edit Delete
There are no Entries.

Maximum number of entries reached.

Skin irritations or conditions?*
- Yes
- No

Add information regarding Skin Conditions

Date	Description of condition	Has your pet since fully recovered?	Actions
			Edit Delete
There are no Entries.

Maximum number of entries reached.

Any other diagnosed or treated conditions?*
- Yes
- No

Add information regarding any other diagnosed or treated conditions

Date	Description of condition	Has your pet since fully recovered?	Actions
			Edit Delete
There are no Entries.

Maximum number of entries reached.

Vet Contact

Vet Clinic or Hospital	Phone Number	Actions
		Edit Delete
There are no Entries.

Maximum number of entries reached.

Disclaimer*
- I accept that non-disclosure of any previous condition(s) may result in the cover being voided with immediate effect
- Please keep in touch with me. We won't send you anything unless we have something important to say.
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Unit 4
Silverwood Cl
Tokai
Cape Town
7945

info@medipet.co.za
021 701 2023

MediPet Animal Health Insurance is underwritten by
Renasa Insurance Company Limited (Renasa FSP License 15491)
(MediPet FSP License 32613)

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Visit the official COVID-19 government website to stay informed: sacoronavirus.co.za

Home
Plans
- View Plans
- Compare Plans
Claims
MediPet Family
- Add A Pet To Your Cover
Why MediPet?
Blog
Contact Us
Get A Quote