Please fill in our recognition form (you can download this below) and return it, together with the evidence requested, to firstname.lastname@example.org . We aim to review your form and be in touch within ten working days.
We will need to see evidence of your:
Please note that completing the recognition form and meeting the recognition criteria does not guarantee we will recognise your facility. With no agreement in place, your facility will not be eligible to treat AXA PPP healthcare members. After reviewing your documentation we may also request further information and arrange a visit to your facility to assess the quality of services offered.