Skip to content
Home
Practitioner
info@videomed.co.za
Pharmacist RONELL PILLAY
CAPE CARE PHARMACY
Pharmacy
6D VILLAGE ON MAIN, PARKLANDS, CAPE TOWN, CAPE TOWN, Western Cape, 8000
0215566626
info@capecarepharm.co.za
Make an appointment:
Service
*
Select Service Reason
Bankmed Assessment
GEMS Assessment
Multiply Assessment
Vitality Assessment
Appointment details:
Please, select the service first.
Please, select the provider first.
Please set service field for current calendar
Sorry. You have the max number of appointments.
Next
Personal Information
Back
Full Name
*
E-mail
*
Mobile Number
*
Gender
*
Select Gender
Female
Male
Other
ID Number
*
Fill required fields
Next
Medical History
Back
Chronic Conditions
Addison's disease
Chronic obstructive pulmonary disorder
Dysrhythmias
Hypertension
Systemic lupus erythematosus
Asthma
Chronic renal disease
Epilepsy
Hypothyroidism
Ulcerative colitis
Bipolar Mood Disorder
Coronary artery disease
Erythematosis
Multiple sclerosis
Bronchiectasis
Glaucoma
Crohn's disease
Parkinson's disease
Cardiac failure
Diabetes Insipidus
Haemophilia
Rheumatoid arthritis
Cardiomyopathy
Diabetes mellitus types 1 & 2
Hyperlipidaemia
Schizophrenia
Allergies
Aspirin
Iodine
Naproxen, ketoprofen or other non-steroidal
Penicillin
Quinolones
Sulphur
Other
None
Do you have any acute conditions?
Appointment Consent
*
I consent to the processing of my health information in accordance with the
Privacy Policy.
I agree to the appointment conditions and
Terms of Service
.
Make an appointment
