VDEN Patient Obligations
Complete and return the Regisation form ASAP.
Ensure that you or your referrer submits all your documentation, referral and relevant results, for assement.
Reply "Y" only to the confimation sms or verbal confirm with a staff member within a week of your cosultation
Due to the high demand for Specialist consutations without the following.
1) Completed and submited Registration Form
2) All relevant documentation submited for assesment
3) Confimation within a week of your appointment
Your appointment is subject to reshedualing with or without notice.
Dowload and complete this form then email to firstname.lastname@example.org or alternative complete the online form below. Also ensure that your referral and results are forward to the office for proccessing. By completeing and submitting the Registration Form you agreeing to the VDEN Patient Obligations.
Patient Infomation & Registration Form