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1
How can we help today?
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This field is required.
Remote consultations take place over WhatsApp/Text/Phone or video call.
Remote Consult
CallOut / Home Visit
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2
Remote: Choose a time slot convenient for you.
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If there's earlier availability, we'll let you know!
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3
Call-Out: Choose a time slot convenient for you.
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Note: Call-Outs currently only available in Cape Town Southern Sub/Atlantic Seaboard/City Bowl
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4
Where do we meet you?
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Your home, office, or somewhere else? Let us know via WhatsApp if there's any special instructions.
Street Address
Street Address Line 2
City
State
Zip Code
South Africa
South Africa
South Africa
Country
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5
Who is the booking for?
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(Names as they appear on ID or Passport)
First Name
Last Name
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6
Email
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Double check it so that your documents and prescriptions don't get lost in the mail!
example@example.com
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7
Phone Number
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How can we reach you?
Enter a valid cell phone number - preferably one linked to WhatsApp.
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8
Feeling under the weather? Or just here for a follow-up?
Give us a brief description of how we can help in your consultation - if you feel like it!
How are you, really? ♥️
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9
Lastly: Do you have a discount CODE for your first consultation?
- this might be from your employer or promotion
leave me blank if not
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10
One last thing: Where did you hear about Doxi?
Friends or Family
Google
Social Media
A Pharmacy
Other
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