Follow-up Form - Nelspruit Integrative Medical Centre, Dr Anthony de Pontes

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Follow-up Form

Your Name and Surname (required)

Your Email (required)

Upload Picture of Right Eye

Upload Picture of Left Eye

Upload Picture of Tongue

Upload Picture of Effected Area (Optional)

Here is examples of how your pictures should look.:

WhatsApp Image 2020-09-09 at 13.21.19

WhatsApp Image 2020-09-09 at 13.21.20

WhatsApp Image 2020-09-09 at 13.21.20 (1)

Right Eye

Left Eye

Tongue

Map Location

Business Hours

Our office hours are:

Monday to Friday 08h00 to 17h00

TERMS OF USE AND PRIVACY

Physical Address

Shop 74 Sonpark Centre
4 Faurie Street
Nelspruit
1200

© 2020 Nelspruit Integrative Medical Centre - Homeopathy in Nelspruit. All Rights Reserved. | Designed and hosted by Precision Media

Content on this website is not considered medical advice. Please see a physician before making any medical or lifestyle changes.

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