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Patient Forms & Instructions

To help us prepare for your upcoming consultation and ensure we can make the best use of our time together, please complete the necessary forms listed below. Completing these forms in advance allows us to have a thorough understanding of your health history and current concerns.

Instructions for Completing Your Forms:

Please follow these steps carefully:

1. Download Your Forms:

  • Click on the name of each required form listed below to download it to your computer or device.

  • The forms are typically in PDF format. You will need a PDF reader (like Adobe Acrobat Reader, which is free to download) to view and print them.

  • All new patients are required to complete our "New Patient Medical History" form. Additionally, if your consultation is specifically for weight loss, please download and complete the "Nutrition" form as well.

Download the forms clicking the links below​:

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2. Complete Your Forms:

  • Option 1 (Recommended): The recommended method for completing this form is electronically via Adobe Acrobat. If you do not already have it, you can download the application using the provided links. Utilizing Adobe Acrobat allows you to fill out and save the PDF form directly on your device, bypassing the need for physical printing and scanning.

  • Option 2: Print the forms and fill them out clearly by hand using black or blue ink.

  • Please ensure all sections are completed accurately and thoroughly. Missing information may delay your consultation.

3. Securely Upload Your Completed Forms:

  • Upon completion and signing of all required forms, please proceed to upload the forms via the uploader provided below. Electronically completed forms can be uploaded directly. For documents completed by hand, ensure clear scans or high-resolution photographs are taken of each page prior to uploading the image files.

  • Crucially, you must upload these forms back to us through our secure system below.

*Please be advised: For optimal preparation and a smooth consultation experience, we require all necessary forms to be submitted no later than one hour before your scheduled consultation time.

*Please ensure all necessary forms are completed and uploaded.

Thank you for submitting your forms. Please proceed to book your online consultation below. 

Getting Ready for Your Appointment

Nutrition form

Call 

+27795269151

Email 

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