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Book an Online Consultation

Video conferencing and advise consultations to our clinic

  • For Distance & International Clients we offer online consultations.

Health Declaration

To obtain maximal benefit from our online consultation process, we need to fully assess that your particular health complaints can be diagnosed & we find the right treatment with an online remote consultation.

 

Please fully complete the attached form and we will then contact you by WhatsApp, phone or email to offer an online consultation. This information will provide us on the nature of your health condition and then we can decide on the most appropriate cost effective treatments, tests to be performed and management plan.

Have you been hospitalized in the last 12 months?
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Are you suffering from a medical condition, illness, or injury?
Present Health Complaints
Any Known Allergies
Any Other Health Complaints
Do you suffer from food Intolerance

Would you like to request a date for your online consultation

We offer phone & video consultations Monday to  Saturday 10am to 5pm or Sunday 11am to 2pm (45 minute Slots)

Preferred Time (we will revert back with time option)

I declare that I have completed this form voluntarily, provided & disclosed details of my own free will & personal understanding

The  HHC certifies that, all Information is only for assessment of your condition, is strictly confidential & not shared or used by any other party.

Thanks for submitting!

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