Schedule an Appointment

Please complete the form below to schedule an appointment.
Should you wish to contact us by telephone, our number is +27 (21) 531 6999.

Please note that first consultations are R 2 250 for an hour appointment including a scan. If you are not from Cape Town, you can request a skype consultation.

First Name (required)

Last Name (required)

Email (required)

Contact Number (required)

Your Town/City (required)

Your Province (required)

Date of Birth

Which doctor you would like to consult with? Please select below:

I am a:

If referred by a physician, please supply name:

How did you hear about Aevitas Fertility Clinic:


Spam security question: