Pretoria

93 Glenwood Road
Lynnwood Glen
Pretoria
Gauteng

+27 (0)12-3487917

reception@orthodontist.co.za

Pretoria

93 Glenwood Road
Lynnwood Glen
Pretoria
Gauteng

Please bring your medical aid card with on your first appointment. To save you the time please complete the following form in preparation for your first appointment.

Scroll down below for instructions.

1. Click on link to download the form.

2. Save the document.

3. Complete the PDF with all of your information by clicking on each section, typing in details and marking with an x for selecting an option.

4. Save the completed PDF document and email through to us.

Download:         NP-Form.pdf

Email back to:   reception@orthodontist.co.za

Please bring your medical aid card with on your first appointment. To save you the time please complete the following form in preparation for your first appointment.

Scroll down below for instructions.

1. Click on link to download the form.

2. Save the document.

3. Complete the PDF with all of your information by clicking on each section, typing in details and marking with an x for selecting an option.

4. Save the completed PDF document and email through to us.

Download:         NP-Form.pdf

Email back to:   reception@orthodontist.co.za