Forms

Please click on the links below to download the applicable forms

FOR TREATMENT IN SOUTH AFRICA:

Credit card payment form for treatment in SA:  Credit Card Transaction Authorisation ZA

FOR TREATMENT IN THE UK:

Credit card payment form for treatment in UK*: Credit Card Transaction Authorisation UK

*Please note that the transaction will be processed in ZAR at the prevailing exchange rate on date of transaction.  Your bank might levy additional fees in this regard.