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Our practice will be closed from Wed 18 December 2024 to Wed 8 January 2025.

Angola (View page in Portuguese)

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+27 21 426 4842

info@eyesurgery.co.za

Sea Point, Cape Town

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CATARACTS
MULTIFOCAL LENS SURGERY
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Patient Intake Online Form

Thank You for Visiting our Practice. Kindly fill and e-sign the below form.

Part 1 of 4: Patient Details

Title

First Name

ID / Passport no.

Work Profession

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Date of Birth

Address

Town / City

Postal Code

Phone (cell)

Email

Medical Aid *

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Book your consultation

Request a consultation at Dr. Aleksic’s Consultation rooms

HOME
ABOUT
CATARACTS
MULTIFOCAL LENS SURGERY
CONDITIONS WE TREAT
FAQ's & VIDEOS
BOOK A CONSULTATION

t. +27 21 426 4842

e. info@eyesurgery.co.za

After-Hour Emergencies:
Please visit your nearest Hospital Emergency Room which shall contact the on-call Ophthalmologist.

SUITE 701A,

76 REGENT ROAD,

SEA POINT

CAPE TOWN

8005

LIFE WEST COAST

PRIVATE HOSPITAL

22 VOORTREKKER ROAD

VREDENBURG

WEST COAST

7380

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