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New Patient

New Patient Information

In order to open a file for yourself and/or your family at Medipark please complete the Patient Information Form and read through our Information Sheet and Terms and Conditions.

The completed form can be returned, together with a copy of both sides of your medical aid card (if applicable), as follows:

  • per e-mail: reception@medipark24.co.za
  • per fax: (012) 661 8837
  • in person at our reception desk at Medipark

Are you a new Patient?

Complete this Form

Patient copy of Terms and Conditions

View Document