On your fist visit, upon entering our reception area you would be welcomed by our skilled and friendly reception staff.  You will be asked to fill in the appropriate forms for new and existing patients (you can complete the form below and then we will open your file before arrival. On subsequent visits it is the patients responsibility to inform MediLife if any of your pertinent personal, medical insurance or payment details have changed.

Patient Information

On you first visit we capture contact details, personal & family medical history, emergency contact, medical aid and payment details. Save time on your first visit to MediLife by filling out our Online Patient Information Form below.

What you need on your first visit

You need to bring a valid form of identification with you:

  • A South African Identity Document (ID)
  • Or a valid Passport
  • Or a valid Drivers License
  • And Medical aid card so that we can make a copy of these items. Most medical aids will require the correct ID #, membership # and dependent codes.

Online Patient Information Form