Doctors Corner

Mediclinic Milnerton

Request an appointment

Please Note: Although we have waiting time for routine appointments, we will try to accomodate all acute & urgent requests to be seen, as well as special request .

Please use the form below:

Personal details

Surname *

First name *

Date of birth

Pick a date

Email address *

Medical aid details

Medical name

Medical plan

Medical number

Appointment request

How should we contact you *

By email By telephone By email and telephone

Telephone number if applicable

Patient Information

Existing or new patient *

I am an existing patient I am a new patient

Existing Patient

Existing patient - appointment

New Patient

New patient - appointment.

  First app,consultation,ecg,ultra sound,stress test,first appointment incl posemaker check One point follow on

For urgent appointment please call our room at : 021-552 0660

Please fill in the additional information below or call us urgently.

Additional information

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