Enrol in Afripharma360™ — AfriPharma Health Systems

Choose a Plan

Select the Right Level of Support

Tier 1

Essential

$19/month

Basic oversight for diaspora families wanting peace of mind.

Care360 profile creation
Medication tracking
Refill reminders
WhatsApp family support
Monthly family update
Pharmacy delivery requests

Select Plan

⭐ Most Popular

Tier 2

Plus

$49/month

Best for families supporting elderly parents — full coordination included.

Everything in Essential
Medication coordination
Prescription refill management
Pharmacy delivery coordination
Appointment scheduling support
Priority WhatsApp support

Select Plan

Tier 3

Platinum

$99/month

Active, hands-on care coordination with a dedicated coordinator.

Everything in Plus
Dedicated Care Coordinator
Wellness verification calls
Detailed family reporting
Appointment coordination
Escalation support
Priority delivery service

Select Plan

Add-on services — Pharmacy delivery (Harare/Bulawayo): $3–5 per delivery. Appointment escort and wellness visits available in future. Add-ons are arranged separately after enrolment.

Sponsor

Patient

Location

Medications

Conditions

Plan

Consent

Payment

Sponsor Information

Tell us about yourself — the person arranging and paying for Care360 support.

First Name *

Last Name *

Email Address *

Phone / WhatsApp *

Country of Residence *

Relationship to Patient *

Step 1 of 8

Patient Information

Information about the person who will be receiving Care360 support in Zimbabwe.

First Name *

Last Name *

Date of Birth *

Gender

Primary Language

Patient Phone / WhatsApp If the patient has their own phone

Emergency Contact Name

Emergency Contact Phone

Patient Location

Where is your patient located in Zimbabwe?

City *

Suburb / Area

Street Address or Landmark

Additional Location Notes

Current Medications

List current medications so we can set up tracking and refill reminders.

Current Medications

Known Allergies or Adverse Reactions

Preferred Pharmacy

Medical Conditions

Select all relevant conditions.

Diabetes (Type 1)

Diabetes (Type 2)

Hypertension

Heart Disease

Asthma / COPD

HIV/AIDS

Tuberculosis (TB)

Kidney Disease

Arthritis

Epilepsy

Mental Health Condition

Cancer

Stroke / Neurological

Thyroid Condition

Mobility / Physical Disability

Dementia / Memory Issues

None of the above

Other Conditions or Notes

Primary Doctor / Clinic

Choose Your Care360 Plan

Select the tier that best matches your patient's needs.

Essential

$19/month

Medication tracking, refill reminders, WhatsApp support, monthly update.

⭐ Most Popular

Plus

$49/month

Medication coordination, delivery, appointment scheduling, and priority support.

Platinum

$99/month

Dedicated coordinator, wellness verification, reporting, escalation support.

Consent & Authorization

Please review the following carefully before proceeding.

I understand Care360 is not an emergency medical service. *

I authorize AfriPharma to use the information provided to coordinate Care360 services. *

I understand Care360 is a monthly subscription service. *

Payment

Submit the enrollment request first, then complete payment using Stripe or PayPal.

Care360 Plan—

Monthly Subscription—

Total Today—

Payments are processed securely via Stripe or PayPal. AfriPharma does not store card details.
Questions? Email care360@afripharma-health.com

Enrol Your Loved One
in Care360™

Select the Right Level of Support

Essential

Plus

Platinum

Enrolment Summary

Need Help?

Enrolment Received!

Enrol Your Loved Onein Care360™

Select the Right Level of Support

Essential

Plus

Platinum

Enrolment Summary

Need Help?

Enrolment Received!

Enrol Your Loved One
in Care360™