Company Details Let us know who you are and how we can contact you regarding your booking.
Financial Department Contact details
Where would you like to book your screening for?
Clinic BookingSite BookingExecutive Medical
Medical at HSP Clinic - Booking form Please note that we will do our best to accommodate your requested booking date. Our clinic administrator will contact you to confirm your appointment.
Date of booking - First Choice
Date of booking - Second Choice
Location LambtonSunnyridgeVanderbijl ParkBloemfonteinCape townEast LondonGeorgeIsiphingoKrielKurumanKimberleyKlerksdorpLephalaleMargateMogopaneMusinaNelspruit/ MbombelaNew CastlePietermaritzburgPinetownPort ElizabethPolokwanePotgietersrus/ MokopaneRichards BayRustenburgSaldanhaSecundaUpingtonWestvilleWelkomOther
Other Location
What Medicals would you like to book for and how many? Entry / Baseline Medical Annual / Periodic medicals Exit medicals Heights Medicals Drivers Medicals SAMSA Medicals Mining Medicals
Would you like a Bolt ride for employees to our clinic? YesNo
Please give us the address for the bolt ride pickup
Additions to Medical - to be added to quote Multi drug screening Flu immunisation Fitness ID card Chest X-ray
Other ( if what you are looking for is not here please let us know.)
On-site Medical - Booking form Please note that we will do our best to accommodate your requested booking date. Our On-site clinic administrator will contact you to confirm your appointment.
Location Specifications
Physical Address
Please indicate if the following will be available on the site for our team to make use of during the project.
Electricity available for the HSP Group YesNo bathrooms close to private screening rooms for urine testing YesNo
Private, quiet rooms for medical screening YesNo Double parking Bay for Mobile unit YesNo
Executive Medical at HSP Clinic - Booking form Please note that we will do our best to accommodate your requested booking date. Our clinic administrator will contact you to confirm your appointment.
Location optgroup-GautengSunnyridgeendoptgroupoptgroup-Nationalendoptgroup
What Medicals would you like to book for and how many? Silver Female Package Gold Female Package Silver Male Package Gold Male Package Customised Package
