Site Admin

Home

Our Services

Our Members

Your Health

FAQ

About Us

	Member Services
Use our Online Services: Order your next repeat online Change your delivery address Change your contact details Change your postal address Change your medical aid details Get the balance on your account Arrange a debit order Are you familiar with the Clicks Direct Medicines credit policy?

Contact Details

Phone us on 0861 444 405 or Contact Us online and we'll be happy to help you with any questions you may have.

Useful Links

Links to medical aids, administrators, suppliers and other health related sites. Useful healthcare links

General Account Enquiries and Debit Order Form

Debit Orders and General Account Enquiries

Please use this form to arrange a debit order or for general account enquiries. Ensure that you enter your contact and member information correctly so that we can answer your enquiry promptly.

First Name:*	Last Name:*
Daytime Phone:*	Email Address:*
Member Information
Please provide one of the following so that we can locate your file on our dispensing system:
Direct Medicines No:	ID Number:
Medical Scheme Number:

What information do you require? Outstanding BalanceStatement QueryArrange Debit Order
Debit Order Details
Bank:	Branch:
Branch Code:	Account Type:
Account Number:	Account Holder:
Maximum Debit Order Amount:
Credit Card Details
Credit Card Number:	Card Holder Name:
Expiry Date:	CCV Number
Card Type:




General

General Comment



* Required