Patient Details - Faith Klaasen

Basic Information

ID Number: 9308210180087

Name: Faith Klaasen

Date of Birth: 21 August 1993

Gender: Female

Account Number:

Account Name:

Account Type:

Registration Date: 12 August 2025

Contact Information

Phone: 071 810 3994

Cell: 071 810 3994

Email: rklaasenz1@gmail.com

Occupation: Free Lancer

Next of Kin

Name: Whendell Klaasen

Relation: Spouse

Phone: 0739028143

Email:

Addresses

Home:
65 Gaworth Road
Epworth
Pietermaritzburg
Kwazulu-natal
3201

Medical Aid Information

Medical Aid Name

Medical Aid Number

Main Member Name

Main Member ID

Option Name

Dependent Number

Medical History

Allergies

None recorded

Current Medications

None recorded

Existing Conditions

None recorded

Previous Medical Treatments

None recorded

Examination History

New Examination

No examinations recorded.

Documents

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Digital Hard Tissue Chart

Digital Chart

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Appointment History

Upload History

Date	Time	Type	Status
22 October 2025	10:00	Aligner Follow Up	Scheduled
26 September 2025	08:30	Aligner Follow Up	Scheduled
12 August 2025	10:00	Aligner First Visit	Scheduled