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Smit & Winkel

Make an Appointment

Please complete the following fields to make an appointment.

We will contact you shortly to confirm the time and date of your appointment.

First Names (*)
Surname (*)
E-mail (*)
Contact Number (*)
How should we contact you?
E-mail
Phone
Do you have medical aid or are you a private patient? (*)
Medical Aid
Private
When would you like to have an appointment? (*)
Reason for your appointment / any additional information?