Please complete the below Booking Form and we will call you back to confirm your appointment. Your name Your email Your contact number Which Area Do You Live In? Which branch would you prefer to visit? Century CityClaremontGardensGoodwoodMelkbosPinelandsSea PointTableview What Date Would You Prefer? (we will call you back to confirm your appointment) When was your last hearing test done? Have never had a hearing testMore than 2 years agoLess that 2 years ago Do you have hearing aids? NoYes, but they don't helpYes Do you have tinnitus (Ringing in the ears)? NoSometimesYes Are you experiencing hearing difficulties? NoYes How old are you? I am under 60 years of ageI am over 60 years of age Your message (optional) Δ
