LIFE without

fibroids

CONTACT US

Get in contact with us! Here are some helpful quick downloads:

Click Here to download UFE History Form (PDF Document) 

Click Here to download UFE History Form (Word Document)

Patient Assessment

All questions contained in this questionnaire are strictly confidential and will become part of your medical record.

"*" indica campos obrigatórios

All questions contained in this questionnaire are strictly confidential and will become part of your medical record.

Name*
Please select the location closest to you*
Do you suffer from any of the following?*

NETCARE UCT Private Academic Hospital

D18 Anzio Rd
Observatory
CPT 8000

NETCARE Christiaan Barnard Memorial Hospital

25 D.F. Malan St
Foreshore
CPT 8001

MEDICLINIC Panorama Hospital

Rothschild Blvd
Panorama
CPT 7500

LIFE Fourways Hospital

Cedar Ave West & Cedar Rd
Fourways
Johannesburg 2055

NETCARE Parklane Hospital

Corner Junction Ave & Park Ln
Parktown
Johannesburg 2193

LIFE St. Dominic’s Hospital

24 St Mark Rd
Southernwood
East London 5213