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Patient

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This information allows us to tailor your landing page experience when returning. In order to generate a username and password for you on our system we will require the additional information below.

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To set up your online PACS account upon referral.

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To tailor the site to your interests.

HPCSA professional registration number

BHF/PCNS practice number

Cell number

This is useful if we need to uregently discuss a patient with you.

Personal/Direct Email

Email

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Required to set-up you account and send reports. Please only us an email account to which only you have access, according to the POPI act.

Personal/Direct Email

Email

Confirm Email

Required to set-up you account and send reports. Please only us an email account to which only you have access, according to the POPI act.