Online Admission

To complete your online admission form please click on the button which will redirect you to our safe submission.

Please ensure you have all of the following documents.

Checklist 1


Doctors Note
Copy of Identity Document
Copy of Medical Aid Card
Suretyship Form
Standard Terms and Conditions
Laparoscopy Report (if required)
Injury Report (if required)
Discovery Dental Form (if required)
Liberty Claims Form (if required)

Checklist 2


Application Form
Doctors Note
Identity Document
Copy of Medical Aid Card
Medical Aid Authorisation (if member)