{"id":898,"date":"2025-03-05T16:01:54","date_gmt":"2025-03-05T14:01:54","guid":{"rendered":"https:\/\/gautengurologie.co.za\/WP0826\/?page_id=898"},"modified":"2026-08-31T13:00:40","modified_gmt":"2026-08-31T11:00:40","slug":"contact-us","status":"publish","type":"page","link":"https:\/\/gautengurologie.co.za\/WP0826\/contact-us\/","title":{"rendered":"Request An Appointment"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"898\" class=\"elementor elementor-898\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1713d90d e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no e-con e-parent\" data-id=\"1713d90d\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b4bd4b2 elementor-widget elementor-widget-xpro-page-title\" data-id=\"b4bd4b2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"xpro-page-title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n<h1 class=\"xpro-page-title\">\n<span class=\"xpro-page-title-text\">\n\t\tRequest An Appointment\t<\/span>\n<\/h1>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-88ff824 e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no e-con e-parent\" data-id=\"88ff824\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-7c46942 e-con-full animated-slow e-flex wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no elementor-invisible e-con e-child\" data-id=\"7c46942\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;slideInUp&quot;,&quot;animation_delay&quot;:500}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-80a7d41 elementor-widget elementor-widget-heading\" data-id=\"80a7d41\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Appointment Request<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-88c55d7 elementor-widget elementor-widget-shortcode\" data-id=\"88c55d7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-909 forminator-design--flat  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-909\" data-uid=\"6ad6b7cdc6c04\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-909\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-909 forminator-design--flat  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"909\"\n\t\t\t\t data-color-option=\"theme\" data-design=\"flat\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6ad6b7cdc6c04\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_6ad6b7cdc6c04\" id=\"forminator-field-name-1_6ad6b7cdc6c04-label\" class=\"forminator-label\">Full Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"\" id=\"forminator-field-name-1_6ad6b7cdc6c04\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6ad6b7cdc6c04\" id=\"forminator-field-email-1_6ad6b7cdc6c04-label\" class=\"forminator-label\">Email Address <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"E.g. john@doe.com\" id=\"forminator-field-email-1_6ad6b7cdc6c04\" class=\"forminator-input forminator-email--field\" data-required=\"true\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_6ad6b7cdc6c04\" id=\"forminator-field-phone-1_6ad6b7cdc6c04-label\" class=\"forminator-label\">Phone Number <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"E.g. +1 3004005000\" id=\"forminator-field-phone-1_6ad6b7cdc6c04\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-picker_6ad6b7cdc6c04\" id=\"forminator-field-date-1-picker_6ad6b7cdc6c04-label\" class=\"forminator-label\">Preferred Date<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-1\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-1-picker_6ad6b7cdc6c04\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-909__field--select-1_6ad6b7cdc6c04\" id=\"forminator-form-909__field--select-1_6ad6b7cdc6c04-label\" class=\"forminator-label\">Select Hospital <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-909__field--select-1_6ad6b7cdc6c04\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-1\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Select Hospital\" data-search=\"false\" data-search-placeholder=\"Select Hospital\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-909__field--select-1_6ad6b7cdc6c04-label\"><option value=\"\"  >Select Hospital<\/option><option value=\"one\"  data-calculation=\"0\">Netcare Unitas Hospital<\/option><option value=\"two\"  data-calculation=\"0\">Life Eugene Marais Hospital<\/option><option value=\"Mediclinic-Kloof-Hospital\"  data-calculation=\"0\">Mediclinic Kloof Hospital<\/option><option value=\"Life-Groenkloof-Hospital\"  data-calculation=\"0\">Life Groenkloof Hospital<\/option><option value=\"Pretoria-Urology-Hospital\"  data-calculation=\"0\">Pretoria Urology Hospital<\/option><option value=\"Advanced-Day-Clinic-Groenkloof\"  data-calculation=\"0\">Club Surgical Centre<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_6ad6b7cdc6c04\" id=\"forminator-field-textarea-1_6ad6b7cdc6c04-label\" class=\"forminator-label\">Message<\/label><span id=\"forminator-field-textarea-1_6ad6b7cdc6c04-description\" class=\"forminator-description\"><span data-limit=\"180\" data-type=\"characters\" data-editor=\"\">0 \/ 180<\/span><\/span><textarea name=\"textarea-1\" placeholder=\"Enter your message...\" id=\"forminator-field-textarea-1_6ad6b7cdc6c04\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" maxlength=\"180\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"captcha-1\" class=\"forminator-field-captcha forminator-col forminator-col-12 \"><div class=\"forminator-captcha-left forminator-turnstile\" data-theme=\"light\" data-language=\"en-za\" data-sitekey=\"0x4AAAAAAEbtgRqtOGJbZx9s\" data-size=\"normal\"><\/div> <\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Send Message<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"769db78787\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/WP0826\/wp-json\/wp\/v2\/pages\/898\" \/><input type=\"hidden\" name=\"form_id\" value=\"909\"><input type=\"hidden\" name=\"page_id\" value=\"898\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/gautengurologie.co.za\/WP0826\/contact-us\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><label for=\"input_7\" class=\"forminator-hidden\" aria-hidden=\"true\">Please do not fill in this field. <input id=\"input_7\" type=\"text\" name=\"input_7\" value=\"\" autocomplete=\"off\"><\/label><\/form><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-64d15a8 e-con-full e-flex wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no elementor-invisible e-con e-child\" data-id=\"64d15a8\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;animation&quot;:&quot;slideInUp&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2dd89d2 elementor-widget elementor-widget-heading\" data-id=\"2dd89d2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Get In Touch With Us!<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c11a49a elementor-widget elementor-widget-text-editor\" data-id=\"c11a49a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul class=\"wpr-page-list\"><li class=\"wpr-page-list-item elementor-repeater-item-ef835a0 wpr-pointer-none wpr-pointer-line-fx wpr-pointer-fx-fade\"><div><a class=\"wpr-no-pointer wpr-pl-title\">Unitas Hospital: 012 644 0163<\/a><\/div><\/li><li class=\"wpr-page-list-item elementor-repeater-item-f450722 wpr-pointer-none wpr-pointer-line-fx wpr-pointer-fx-fade\"><div><a class=\"wpr-no-pointer wpr-pl-title\">Eugene Marais Hospital: 012 335 5650<\/a><\/div><\/li><li class=\"wpr-page-list-item elementor-repeater-item-e72effa wpr-pointer-none wpr-pointer-line-fx wpr-pointer-fx-fade\"><div><a class=\"wpr-no-pointer wpr-pl-title\">Mediclinic Kloof Hospital: 012 367 4440<\/a><\/div><\/li><li class=\"wpr-page-list-item elementor-repeater-item-4c60f60 wpr-pointer-none wpr-pointer-line-fx wpr-pointer-fx-fade\"><div><a class=\"wpr-no-pointer wpr-pl-title\">Groenkloof Hospital: 012 424 3854<\/a><\/div><\/li><li class=\"wpr-page-list-item elementor-repeater-item-6838bc1 wpr-pointer-none wpr-pointer-line-fx wpr-pointer-fx-fade\"><div><a class=\"wpr-no-pointer wpr-pl-title\">Urology Hospital: 012 342 1982<\/a><\/div><\/li><li class=\"wpr-page-list-item elementor-repeater-item-9b63b06 wpr-pointer-none wpr-pointer-line-fx wpr-pointer-fx-fade\"><div><a class=\"wpr-no-pointer wpr-pl-title\">Centurion Day Hospital: 012 663 2010<\/a><\/div><\/li><li class=\"wpr-page-list-item elementor-repeater-item-d9cd5a1 wpr-pointer-none wpr-pointer-line-fx wpr-pointer-fx-fade\"><div><a class=\"wpr-no-pointer wpr-pl-title\">Cure Day Hospital Erasmuskloof: 012 003 2001<\/a><\/div><\/li><li class=\"wpr-page-list-item elementor-repeater-item-22113cc wpr-pointer-none wpr-pointer-line-fx wpr-pointer-fx-fade\"><div><a class=\"wpr-no-pointer wpr-pl-title\">Advanced Day Clinic: 012 346 4040<\/a><\/div><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fc8af30 elementor-widget elementor-widget-text-editor\" data-id=\"fc8af30\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li><h4><strong>Unitas Hospital: 012 644 0163<\/strong><\/h4><\/li><li><h4><strong>Eugene Marais Hospital: 012 335 5650<\/strong><\/h4><\/li><li><h4><strong>Mediclinic Kloof Hospital: 012 367 4440<\/strong><\/h4><\/li><li><h4><strong>Groenkloof Hospital: 012 424 3854<\/strong><\/h4><\/li><li><h4><strong>Urology Hospital: 012 342 1982<\/strong><\/h4><\/li><li><h4><strong>Club Surgical Centre: 012 001 9800<\/strong><\/h4><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Request An Appointment Appointment Request Get In Touch With Us! Unitas Hospital: 012 644 0163 Eugene Marais Hospital: 012 335 5650 Mediclinic Kloof Hospital: 012 367 4440 Groenkloof Hospital: 012 424 3854 Urology Hospital: 012 342 1982 Centurion Day Hospital: 012 663 2010 Cure Day Hospital Erasmuskloof: 012 003 2001 Advanced Day Clinic: 012 346 4040 Unitas Hospital: 012 644 0163 Eugene Marais Hospital: 012 335 5650 Mediclinic Kloof Hospital: 012 367 4440 Groenkloof Hospital: 012 424 3854 Urology Hospital: 012 342 1982 Club Surgical Centre: 012 001 9800<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-898","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/gautengurologie.co.za\/WP0826\/wp-json\/wp\/v2\/pages\/898","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/gautengurologie.co.za\/WP0826\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/gautengurologie.co.za\/WP0826\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/gautengurologie.co.za\/WP0826\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/gautengurologie.co.za\/WP0826\/wp-json\/wp\/v2\/comments?post=898"}],"version-history":[{"count":46,"href":"https:\/\/gautengurologie.co.za\/WP0826\/wp-json\/wp\/v2\/pages\/898\/revisions"}],"predecessor-version":[{"id":2369,"href":"https:\/\/gautengurologie.co.za\/WP0826\/wp-json\/wp\/v2\/pages\/898\/revisions\/2369"}],"wp:attachment":[{"href":"https:\/\/gautengurologie.co.za\/WP0826\/wp-json\/wp\/v2\/media?parent=898"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}