Online Patient Consultation Information Form Patient Information [area* area placeholder "Which area are you based*"] Appointment Preferences Which day of the week suits you best? * MondayTuesdayWednesdayThursdayFriday What time of the day do you prefer? * Early MorningMiddayAfternoon Indemnity Agreement By clicking here, I do herewith understand and accept that: (I hereby consent to the personal information provided by me to be used for delivery of services offered by Slender Wonder. It is my legal obligation to provide correct information in the contracting with Slender Wonder and where such information has been changed, I am obliged to inform Slender Wonder accordingly. I am aware that I can unsubscribe to any newsletters, campaigns, communications from Slender Wonder by notifying them accordingly. It is my right to request Slender Wonder to delete and cease to use any of my personal information subject to any legal obligation on Slender Wonder’s side to keep same. There is a legal obligation for Slender Wonder to retain your information for 5-years from date of contracting, whereafter it will be destroyed in a POPIA compliant manner. Should I believe that there has been a misuse of my personal information, I am aware that I can lodge a complaint with Slender Wonder and / or the Information Regulator at inforeg@justice.gov.za) Disclaimer I certify that my answers are true and complete to the best of my knowledge. I hereby acknowledge that I understand and agree to the above mentioned statements.
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