Please complete the three forms below before your first consultation with Dr Du Toit:

You may bring the completed forms along with you during your first consultation or alternatively e-mail it back to the practice the day before your scheduled appointment.

New patient information

New patient contract

New patient past medical & surgical history



 Should you require a surgical procedure please take note of the following:

Dr ALJ du Toit Consent for Surgery

Anaesthetist Information: ICAN Specialist Anaesthetic & Critical Care Practice



Please take notice of the practice billing policy and professional fees:

Dr ALJ du Toit Professional Fees