Booking request

Submit a booking request for a procedure.

Clinician forms

Submit a quick appointment request for you, a loved one, or a patient in your care. For a more efficient booking process, please upload the doctor’s referral letter, patient ID, medical aid card if applicable, and other supporting documents with this form.

* If you’re having trouble selecting your preferred branch after selecting your procedure, kindly ensure your browser cache is cleared.

Procedures(Required)

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Netcare Christiaan Barnard

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SCP Radiology Brackenfell

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SCP Radiology Cape Gate

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SCP Radiology Ceres

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SCP Radiology Durbanville

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SCP Radiology Durbanville Orthopaedic

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SCP Radiology Louis Leipoldt

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SCP Radiology Malmesbury

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SCP Radiology Paarl

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SCP Radiology Panorama

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SCP Radiology Panorama Healthcare Centre

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SCP Radiology Panorama MR

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SCP Radiology Paarl Medicentre

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SCP Radiology Willowbridge

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SCP Radiology Robertson

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SCP Radiology Swellendam

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SCP Radiology Tygervalley Mammography Centre

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SCP Radiology Vredendal

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SCP Radiology Vredenburg

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SCP Radiology Worcester

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Cape PET-CT Centre

Name(Required)

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Landline Number

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Medical Aid or Private Patient

Upload referral letter, patient ID and medical aid card (if applicable), and supporting documents

Drop files here or

Max. file size: 50 MB.

Additional notes (e.g. if you prefer mornings, afternoons, or any time as soon as possible)

How would you like to be contacted?

Email

Telephone

We will respond to your message during office hours.

Clinician forms

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Enquire here about the cost of a procedure and, if funded by a medical aid, the extent of cover provided.

SCP’s services are offered at medical aid rates.