Choose your next step.

Depending on the form, we ask for identification and contact details, medical-aid or other funding information, and relevant health information. We use these details to register you, respond to your enquiry, support care coordination and carry out related practice administration. A referring clinician or an authorised representative may provide information on your behalf.

Our short website callback form asks for your name, email address, an optional telephone number and a contact category. It is for administrative requests; do not include medical records, ID documents, photographs or a clinical history there.

Please provide only information relevant to your request. A form may require particular fields before it can be submitted. If you are unsure why a detail is needed, or cannot provide it, contact the practice for assistance. Missing contact or registration details may prevent us from responding or completing registration. A required form field does not itself mean that a law requires you to supply it.

The registration form uses Microsoft Forms. The public website and the separate administrative callback form use Squarespace. For questions about how your registration information is handled, including storage and authorised access, contact the Information Officer at director@myveinsvascular.com. See privacy-enquiry response times and contact guidance.

The practice owner receives submission notices. A separate administrative alert is configured for the practice owner and the Communicate mailbox; it does not include form answers or provide access to them. Clinical or administrative staff may be given access where authorised for your care or enquiry, limited to what they need for that work. A saved record or notice does not mean that a member of the clinical team has reviewed it.

These services may process information outside South Africa. Contact the Information Officer if you need details about the services used or how your information is handled. Please ask the team to arrange an appropriate secure route before sending clinical documents; do not send them through the callback form, ordinary email or public chat.

The practice's stated policy is to retain website enquiries and registration records for ten years. This is a policy period, not a promise that information is automatically deleted after ten years. You may ask how the policy applies to your information or request a review of information that no longer needs to be retained.

You can ask the Information Officer about your information, request access or correction, raise an objection, or request deletion where applicable. Legal conditions may affect a request. Describe your request briefly and ask for secure verification instructions before sending identity documents or medical records.

You can also lodge a privacy complaint with South Africa's Information Regulator or contact the Regulator on 010 023 5200.

Practice contact location: Netcare Olivedale Hospital, 4 Windsor Way, Johannesburg, 2158. Please confirm the consulting-room details before visiting. Practice telephone: 011 462 0659.

Submitting a registration form does not mean that a clinician has reviewed your information, does not confirm an appointment, and does not guarantee that an appointment can be secured. The practice must confirm appointment arrangements separately. Open registration form (opens Microsoft Forms in a new tab).

For an emergency, call 112 or 10177, or attend Netcare Olivedale Accident and Emergency or the nearest Accident and Emergency department. Do not wait for a form, email or online reply.