It is important to know details about your child's medical history as it forms part of vital medical records. Please complete this form a minimum of 48 hours before appointment. This allows adequate time for the doctor to review these records prior to your appointment. If your child is under the care of a specialist please arrange a referral letter. If you child is taking blood thinners please see your GP and advise you are required to cease them for the procedure. Your GP will need to write a letter outlining medical clearance for the procedure to be carried out. All fields are mandatory, if you do not have the information on hand please enter n/a for not applicable.
It is important to know details about your child's medical history as it forms part of vital medical records. Please complete this form a minimum of 48 hours before appointment. This allows adequate time for the doctor to review these records prior to your appointment. If your child is under the care of a specialist please arrange a referral letter. If you child is taking blood thinners please see your GP and advise you are required to cease them for the procedure. Your GP will need to write a letter outlining medical clearance for the procedure to be carried out. All fields are mandatory, if you do not have the information on hand please enter n/a for not applicable.