Home
Doctor List View
Specialities
Dentist
ENT Specialist
General Practitioner
Physiotherapist
Request Doctor Now
Services
Info & Policies
Contact Us
About Us
Login
Register
Login
Register
Book Appointment
1
Appointment Type
2
Consultation Type
3
Date & Time
4
Basic Information
Dr. Book Appointment
Choose How You Consult
No records found.
Dr. Book Appointment
Booking Info.
Clinic Name
Dr. Book Appointment
Booking Info.
There are no any slot available.
Dr. Book Appointment
Select Patient
Myself
Someone Else
Full name
Phone Number
Email Address
Consultation & Reason
Consultation type
In-person clinic visit
Video consultation
Telehealth consent
I agree to a video/telehealth consultation and understand limits & billing rules.
Visited this practice before?
No
Yes
Last visit date
Previously seen by (doctor)
Practice file/record No.)
Reason for consultation
Clinical problem
Non-clinical request (notes, letters, results, forms)
Request type
Select
Medical/Insurance forms
Results discussion
Other document
Referral letter
Repeat prescription
Sick note
Symptoms
Emergency signs (e.g., chest pain, severe bleeding, stroke). Consider ER / 112.
I have read this and wish to proceed.
Reason / Notes
Patient SA ID
Dependent full name
Dependent SA ID (13 digits)
Relationship
Select
Child
Dependant
Other
Parent
Spouse/Partner
How bad is it (0–10)?
0
Mild
How long have you had this?
Select
< 24 hours
1–3 days
4–7 days
1–2 weeks
> 2 weeks
Where on your body?
Select
Abdomen
Ankle
Arm
Back (lower)
Back (upper)
Breast
Buttock
Chest
Ear
Elbow
Eye
Face
Foot
Groin
Hand
Head
Hip
Knee
Leg
Neck
Nose
Other
Shoulder
Skin
Thigh
Throat
Wrist
Address
Search and pick your street address
Pick from the list. Municipality-only results are not accepted.
Country
Street line 1
Suburb
City
Province
Postal code
Medical Aid
Do you have Medical Aid?
No
Yes
Scheme
Select scheme
Anglo Medical Scheme
Anglovaal Group Med
Bankmed
Bestmed
Bonitas
CAMAF
Cape Medical Plan
CompCare
De Beers Benefit Society
Discovery Health
Fedhealth
GEMS
Genesis
KeyHealth
LA Health
Liberty Health Blue
Medihelp
Medimed
Medshield
Moto Health Care
Momentum Health
Polmed
Profmed
Salt EB
Selfmed
Suremed
Sizwe Hosmed
Topmed
Wooltru Healthcare Fund
Other
Plan / Option
Membership / Medical Aid Number
Main member full name
Holder SA ID / Passport
Relationship to patient
Select
Child
Dependant
Other
Self
Spouse/Partner
I authorise the practice to assist with Medical Aid claims.
Known medical conditions
Allergies
Current medications
Accessibility needs (e.g wheelchair)
I consent to processing of my personal/medical info (POPIA).
Attach ID/Passport
Attach Medical-aid card
Pre-auth / Referral letter
Log
In
Remember Me
Forget Password?
Login
Don't Have an Account?
Sign Up
Sign
Up
Register
Loading prescription details...
Home
Request Doctor
Find a Doctor
My Account
Login
Keep me logged in
Get Pasword