Contact Dr John Hill at the Claremont Eye Laser Centre, Cape Town, South Africa

Contact Dr. Hill

Please be so kind and use the form below to get in touch with us. If you prefer calling us, you can do so under the following numbers:

16 Wilderness Rd
Claremont
Cape Town
7708

Tel: +27 (0)21 683-0369
Fax: +27 (0)21 683-7372

Click here to see a map of the area.

The fields with a red star are required.

Title:
Firstname: *
Surname: *
Address:
City/Town:
Code/ZIP:
Country:
Phone: *
Fax:
E-mail: *
Sex:	Male Female
Age:
Procedure requested:	Refractive eye laser treatment / LASIK Phakic Implant Cataract & lens implant Corneal graft Diabetic eye treatment
Present vision Problem:	Myopia (short-sighted) Hyperopia (longsighted) Astigmatism Presbyopia (over 40's need help with reading, etc)
Present correction:	Glasses Contact lenses Soft Hard/gas permeable
Present glasses prescription: (can be obtained from your optician)
Is your refraction stable?	Yes No
Any other eye problems:
Any significant medical problems?
Preferred date:
Comments: *
How/Where did you find out about this site?