Patient registration

Register once. We'll remember you.

Fill in your details so your information is ready the first time you arrive — and every time after. Your record stays private and is only used for your care.

About you

Tell us who we'll be caring for.

Full name *

Date of birth

Sex

Female Male Prefer not to say

Preferred language

National ID / passport no.

Village or town

How we reach you

We'll SMS your visit details and reminders.

Phone number *

Email (optional)

Physical address

Emergency contact

Someone we can call if needed.

Name

Phone

Relationship

Medical aid

Skip if you'll pay out of pocket.

Scheme

Membership number

Create a password (optional)

Set one if you want to sign in later and see your visits, prescriptions and invoices. Leave blank if you'd rather not.

Password

Confirm password

Medical history

Only what doctors truly need to know — you can update this later.

Allergies

Ongoing conditions

Current medications

Cancel

Welcome.

Your patient code — show this at reception.

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We've saved your details. When you arrive, just give us this code or your phone number.

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