Clinic Appointments

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Clinic Appointments

Heart Rhythm Management is a comprehensive service that deals with electrical disorders of the heart. We aim to improve the quality of lives by correcting the electrical abnormality through ablation procedures and also provide an ambulatory cardiac device and monitoring service.

We work with your physician but patients can also contact us directly.

First Name *

Last Name *

Phone Number *

Email Address *

This is my *

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I am a (please choose one) *

patient

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I was referred to this clinic by

Please let us know how you came to know about this clinic. If you were referred by a doctor, please give us his or her name. Thank you.

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Maximum upload size: 268.44MB

You can use this function to upload and attach files that will be needed in your appointment. This might include documents, x-rays, or scans.

Would you like to give us your medical aid information at this point?

Yes

It is optional to provide your medical aid information to us at this point. If you choose 'yes', additional fields will become available to you on this form. Please only fill in the information that you are comfortable providing at this time.

Medical Aid Company:

Medical Aid Number

Please briefly describe your condition and symptoms *

Anything else you would like us to know?

Please use this space to give us any additional information that you think we should know before your appointment.

Appointment

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Locations

Suite 100A
Life Westville Hospital
7 Spine Road
Westville 3630

Suite 411
Netcare St. Anne’s Hospital
331 Burger Street
Pietermaritzburg 3201

Heart Rhythm Management Clinic

A comprehensive electrophysiology service in Durban and the Kwazulu region.

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