The following will apply in respect of exchange of confidential information and medically confidential information concerning members and their dependants:
1. For the purpose of considering applications for membership, as well as any claim for benefits, the Makoti Medical Scheme and any medical personnel authorised by Makoti Medical Scheme has the right to obtain any medically relevant information which it may deem necessary from any medical practitioner or institution or nominee that possesses such information, and that party may disclose such information to the Makoti Medical Scheme and any party duly authorised by the Makoti Medical Scheme.
2. The Makoti Medical Scheme and any medical personnel duly authorised by Makoti Medical Scheme may request and acquire from service providers any relevant information that may be required for the fulfilment of any of its obligations. The Makoti Medical Scheme and any party duly authorised by the Makoti Medical Scheme may keep such information in their databases and use it for statistical purposes.
3. The information may be requested and supplied at any time, including after the death of the member or dependants, and will include accounts from service providers, indicating diagnoses, and medical or clinical reports when indicated. Such information will, however, be treated as confidential at all times by the party to whom its supplied.
4. By agreeing to sign the application form(s) the applicant/member and dependants thereby waives his/her right to privacy to the extent implied by the above clauses 1, 2 and 3.
I DECLARE THAT I HAVE DISCLOSED ALL PARTICULARS RELEVANT TO THIS APPLICATION, AND THAT I AM AWARE THAT ANY FALSE STATEMENT WILL RENDER MY MEMBERSHIP NULL AND VOID.