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Forms required for consultations

Please fill in and submit this form prior to your consultation

Patient Details Form

Please fill in and submit this form prior to your telemedicine consultation 

Telemedicine Consent Form
CONTACT

Tel: 021 783 5446

Cell: 071 201 5360 (WhatsApp)

Email: reception@drnadiadevilliers.co.za

DOCUMENTS

Patient Details Form

Telemedicine Consent Form

Practice no: 1074644

PAIA manual

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DR NADIA DE VILLIERS

Allergy & Paediatric

General Practitioners

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