DR ETIENNE SWANEPOEL Ingelyf / Incorporated Reg No: 99/21832/21 MBCh B (UOVS) FCS (SA) MMed (Stell) ALGEMENE CHIRURG / GENERAL SURGEON
PR 4207912 DURBANVILLE PRIVAAT/PRIVATE HOSPITAAL/HOSPITAL KAMER /SUITE G08 WELLINGTONWEG /ROAD 45 PRIVAATSAK /PRIVATE BAG X15 DURBANVILLE 7550
TEL : 021- 975-2594 FAX : 021- 975–2692 NOOD/EMERGENCY: 422-1111 x6500
APPOINTMENTS FOR BARIATRIC SURGERY Please print this form and record your appointments once you have confirmed them: 1. Dr. E. Swanepoel Day: (021) 975 2594 Gastroscopy Date: Time: location: • Please contact your medical aid for an authorization. The code for this is: 1587 K25.9 • Complete the attached to record form and fax at least 2 days prior to the procedure (021) 9754097 • Attached detailed information regarding this investigation. 2. Judy Kotze Day: 083 254 0919 (021) 975 2336 Diet Date: Time: Venue: Room G08 Durbanville Medi Clinic OR Please see attached map. Prices: R500.00 - price adjusted for 2012 3. Dr. H. La Grange Day: (021) 975 8771 Psychiatrist Date: Time: 4. Dr. Rust Theron Day: (021) 975 1583 Physician Date: Time: OR 4. Dr.. M. Sandler Day: 021 9305050 Physician Date: Time: 5. Dr.. Schnetler & Associates Day: (021) 975 3962 Sonar upper abdomen Date: (021) 975 3962 Time: NOTES: • Follow a fat-free diet (no meat, eggs, cheese, margarine, etc..) For 24 hours before the investigation • You must remain nil by mouth from 22H00 last night - no breakfast - only black coffee / tea or water 6. Fourie & Associates Day: (021) 551 2798 (Sleep apnea studies) Date: Drs. Fourie's secretary will contact you about Time:
7. Dr. E. Swanepoel Day: (021) 975 2594 ** (Succession Event) Date: time: 8. Anaesthetist: Dr N Coetzee - Durbanville Medi-Clinic 021 914 5042; Dr. Neville Botha 021 939 7080 or Dr. Luc Evenepoel 021 424-7208 at N1 City Hospital. NOTES: • Please visit http://www.bariatricsurgerysupport.co.za/?page_id=15 should you wish to receive Support presurgery and Post Surgery • If any of these times not suit you, you are welcome to contact the relevant doctor's secretary to switch to alternative arrangements. • ** Please note that the follow-up appointment with Dr. Swanepoel at least 2 weeks after your last appointment is made.