To open an account with Synergy, you must be an Authorised Prescriber.
To comply with the regulatory standards, we are required to capture your profile details, validate your account authenticity, and retain records of your transactions.
To open an account, please download, fully complete, sign and send back the Account Application Form to: info@synergy.capetown.
Kindly note that all the sections in this application form must be completed for an account to be processed. Incomplete application forms may lead to delays in processing.
Initials must be provided at each page and full name signatures where indicated.
DOWNLOAD ACCOUNT APPLICATION