Patient Registration

Patients

Please take a few moments to register your details with us.

Registration on Healthspace allows you to store and access your medical history and to allow healthcare professionals of your choice to view that history if you choose.

We respect your privacy. This information is only visible to the healthcare professionals authorised to view your patient profile.

Registration and use of this site is free for patients.

IMPORTANT:
To register a child the parent/guardian needs to register as a patient first. Each child must then be registered independently using the same username and password as the parent/guardian. Be sure to select "Child" under Login type.

 
Login Details Please note: Username & password are case sensitive.
Login Type:
Username:
  Please save this password
Enter your Password: 8 characters, one capital, number & special character
Re-Enter your Password: *
   
Medical Aid Details
Med Aid No:
Med Aid Scheme:
Med Aid Plan:
Dependant Code:
Main Member Name:
Main Member ID No.:
Main Member Address.:
   
Personal Details
Gender:
First Name:
Surname:
Email Address:
ID/Passport Number:
Date Of Birth: - Required to calculate your/the patient's age
Telephone Number:
Cell Number:
Next Of Kin:
Next Of Kin Telephone:
Physical Address:
Postal Address:
Employer:
Occupation:

             



"Patient Portal Implementation Improves Quality of Patient Care and Strengthens Preventive Care." - Dr. Leann Legg