Self Booking Form

Please state whether you have ever been treated at this surgery or you will be coming for the first time. Also provide us with your Medical Aid Society and Membership number. Kindly note that you will be expected to produce positive ID at reception. Expect some short on certain procedures like Detures, Crowns, Bridges, Orthodontics, Root Canal treatment etc. Tooth whitening is not covered by any insuarance.


60 Baines Ave (Medical Chambers)
First floor, West Wing
Harare, Zimbabwe
Fax : 263-4-792309
Cell : 0772 848 051
Telephone : (263-4) 792309/762338/735213