Obtaining written Anaesthetic consent is now a legal prerequisite.

Southern Anaesthetics therefore encourage all patients to complete
the GREEN ANAESTHETIC FORM which can be downloaded from this
website. You MUST give it to your Anaesthesiologist on the day
of your procedure.

bulletSection A:    Agreement between the Anaesthesiologist and
blankthe patient and the consent to Anaesthesia

bulletSection B:    Name of the patient

bulletSection C:    Medical aid principle member / person
blankresponsible for the account

bulletSection D:    Anaesthetic Questionnaire


Should you have any queries, questions or problems which you would like to discuss with your Anaesthesiologist, please do not hesitate to email or phone us.

Download Consent Form Here (pdf)


Patient Info




Anaesthetic Fee Structure (pdf)


Spinal Information (english)


Spinal Information (afrikaans)


Epidurals (english)


Epidurals (afrikaans)



Practice Info