Please fill in your details in the form below in order that we may streamline our admission process.
Fields marked with a * are required. Once submitted, please also email a copy of your Medical Aid Card to info@umhlanga-eye.co.za
Fields marked with a * are required. Once submitted, please also email a copy of your Medical Aid Card to info@umhlanga-eye.co.za
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Complete your details and send it through to our reception on:
Fax: 031 536 1802
or
Email: info@umhlanga-eye.co.za