This form is used for administrative purposes only to assist with appointment scheduling and clinic coordination. Clinical assessment and treatment decisions are made during your consultation with a qualified healthcare professional.

Consent and Information Notice

By submitting this form, you consent to The Pain Collective collecting and processing your personal and health-related information for the purpose of appointment scheduling and administrative coordination. This information is not used for diagnosis or treatment and will be handled in accordance with POPIA and our Privacy Policy

Administrative Notice

Please note that all appointments are arranged via our central administration team.
Call 087 550 0644 or email info@healthcollectiveheal.com for an appointment at any clinic.