PACSO online referral

We are a team of highly skilled specialists dedicated to providing the best possible care for our patients. If you are a doctor or a patient seeking an opinion from our team, you can use this page to submit a referral for further evaluation and treatment.

If you are a patient, please visit our Making an Appointment page.

Our team provides the latest and most advanced techniques in surgical oncology, and we are committed to working with you to develop a personalized treatment plan that meets your needs.

To submit a referral, simply fill out the form on this page and provide as much information as possible about the patient’s medical history and current condition. Our team will review the referral and contact you as soon as possible to discuss next steps. You can also download our full Patient information Form.

Thank you for considering Panorama Centre for Surgical Oncology for your patient’s care. We look forward to working with you and helping your patient receive the best possible treatment.

Visit our Info Hub for more information of our treatment approach.

Please complete the referral box below and submit

Patient Referral Form

Which doctor/division would you like to refer the patient? Referring Doctor: Contact Number: E-mail address: Patient's title: First Name: Surname: Patient Contact Number: Patient Email Address: Diagnosis / Reason for referral: Background information and history related to the referral: Upload supporting documents (max 4, each not larger than 3MB):

Important Notice about data privacy!

We are committed to protecting your privacy in accordance with the South African Protection of Personal Information Act (POPIA). By submitting any personal information through this website, you consent to the collection, use, and disclosure of your personal information in accordance with the terms of this Privacy Policy.

Please be aware that while we take reasonable measures to protect your personal information, no data transmission over the Internet or any other public network can be guaranteed to be 100% secure. As a result, we cannot guarantee the security of any information you transmit to us, and you do so at your own risk.

We may use your personal information to contact you and use it for the sole purpose of ensuring the best possible care for you. You may withdraw your consent for us to hold and use your personal information at any time by contacting us in writing.

This Privacy Policy may be updated from time to time, and we encourage you to review it periodically to stay informed about how we are protecting your personal information.