Patient Information
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 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