Community Service Questionnaires

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  1. Click on the province where you served.
  2. Find your facility using the table’s search tab.
  3. Click on the facility link.
  4. Complete the questionnaire with as much detail as possible.
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District/MunicipalityCentral/Tertiary/Specialised HospitalsRegional HospitalsDistrict HospitalsCommunity Health CentresMilitary Clinics
Ekurhuleni DistrictEdenvale Regional HospitalBertha Gxowa HospitalEsangweni CHC
Far East Rand HospitalEtwatwa CHC
Germiston Bertha Gxowa HospitalJabulani Dumani CHC
Natalspruit HospitalKwa Thema CHC
Pholosong HospitalNokuthela CHC
Tambo Memorial HospitalPhola Park CHC
Tembisa HospitalRamakonopi CHC
Thelle Mogoerane HospitalTsakane CHC
Sedibeng DistrictSebokeng HospitalHeidelberg HospitalBoipatong CHCDunnottaar Military Clinic
Kopanong HospitalJohan Heyns CHCHeidelberg Military Clinic
Levai Mbatha CHC
Sharpeville CHC
Johannesburg Metro Health DistrictCharlotte Maxeke Johannesburg Academic HospitalBheki Mlangeni District HospitalAlexandra CHCDoornkop Military Clinic
Chris Hani Baragwanath Academic HospitalSouth Rand HospitalChiawelo CHC
Helen Joseph HospitalDiscoverers CHC
Rahima Moosa Mother and Child HospitalHillbrow CHC
Itereleng CHC
Jabulani/Zola CHC
Lenasia South CHC
Lilian Ngoyi CHC
Mofolo CHC
OR Tambo CHC
Stretford CHC
Tshwane Metro Health DistrictSteve Biko Academic HospitalJubilee HospitalEersterust CHCGarrison Military Complex
Dr George Mukhari Academic HospitalKalafong HospitalLaudium CHCTek Base Military Clinic
Tshwane Rehabilitation HospitalOdi HospitalMamelodi Stanza Bopane CHCThaba Tshwane Military Clinic
Weskoppies Psychiatric HospitalPretoria West HospitalSkinner Street CHCWaterkloof AFB Military Clinic
Tshwane District HospitalSoshanguve CHCWonderboom Military Complex
1 Military Hospital
Mamelodi Hospital
West Rand DistrictSizwe Tropical Disease HospitalLeratong Regional HospitalCarletonville HospitalBekkersdal West CHCWest Rand Military Complex
Sterkfontein Psychiatric HospitalDr Yusuf Dandoo HospitalKhutsong CHC
Tara Psychiatric HospitalLenasia South HospitalMohlakeng CHC
Randfontein CHC
District/MunicipalityCentral/Tertiary/Specialised HospitalsRegional HospitalsDistrict HospitalsCommunity Health CentresMilitary Clinics
Alfred NDZO District MunicipalityKotshong TB HospitalGreenville Provincial HospitalNtabankulu CHC
Madzikane Kazulu Memorial Hospital
Memorial District Hospital
Mount Ayliff Hospital
Sipetu Hospital
St Patricks District Hospital
Taylor Bequest District Hospital
Amathole District MunicipalityTower Psychiatric HospitalAdelaide HospitalElliot Dale CHC
Winterberg TB HospitalBedford Hospitalldutywa CHC
Butterworth HospitalNqqamakhwe CHC
Cathcart HospitalWillowvale CHC
Fort Beaufort Hospital
Komga Hospital
Madwaleni District Hospital
Nompumelelo Hospital
SS Gida Hospital
Stutterheim Hospital
Tafalofefe District Hospital
Victoria Hospital (EC)
Buffalo City District MunicipalityFrere Tertiary HospitalCecilia Makiwane Regional HospitalBhisho HospitalDimbaza CHC
Nkqubela TB HospitalGrey District HospitalDuncan Village Day Hospital
Empilweni Gompo Day Hospital
Nontyantyambo CHC
Chris Hani District MunicipalityKomani Psychiatric HospitalFrontier Regional HospitalAll Saints District HospitalCradock CHC/Thorn Hill
Cala CHH HospitalSada CHC
Cofimvaba District HospitalNgonyama CHC
Cradock District HospitalHewu CHC
Dordrecht Hospital
Elliot Hospital
Glen Grey District Hospital
Hewu Hospital
Indwe Hospital
Mjanyana Hospital
Wilhelm Stahl Hospital
Joe Gqabi District MunicipalityAliwal North Hospital
Burgersdorp Hospital
Cloete Joubert Hospital
Empilisweni District Hospital
Lady Grey Hospital
Maclear Hospital
Steynsburg Hospital
Taylor Bequest Hospital
Umlamli Hospital
Nelson Mandela Metropolitan DistrictElizabeth Donkin Psychiatric HospitalDora Nginza Regional HospitalUitenhage HospitalKorsten CHCPort Elizabeth Military Clinic
Jose Pearson TB HospitalKwaZakhele CHC
Livingstone Tertiary HospitalLeatitia Bam CHC
Orsmond TB HospitalMotherwell CHC
New Brighton CHC
O.R. Tambo District MunicipalityNelson Mandela Academic Central HospitalMthatha General Regional HospitalBambisana HospitalBevan Goqwana CHCMthatha Military Clinic
St Elizabeth Regional HospitalCanzibe HospitalMakotyana CHC
Dr Malizo Mpehle HospitalMbekweni CHC
Holy Cross District HospitalMganduli CHC
Isilimela HospitalMhlakulo CHC
Nessie Knight HospitalNgangelizwe CHC
St Barnabas District HospitalNgcwangube CHC
St Lucy’s HospitalPort St Johns CHC
Zithulele District HospitalQumbu CHC
Sara Baartman District MunicipalityMajorie Parish TB HospitalAberdeen HospitalJoubertina CHCGrahamstown Military Clinics
PZ Meyer TB HospitalAndries Vosloo District Hospital
B.J. Vorster Hospital
Humansdorp Hospital
Kouga Hospital (Humansdorp)
Midland Hospital
Port Alfred Hospital
SAWAS Memorial Hospital
Settlers District Hospital
Sundays Valley Hospital
Willowmore Hospital
District/MunicipalityCentral/Tertiary/Specialised HospitalsRegional HospitalsDistrict HospitalsCommunity Health CentresMilitary Clinics
Amajuba DistrictMadadeni HospitalDannhauser CHC
Newcastle Provincial Hospital
Niemeyer Memorial Hospital
eThekwini Metro DistrictKing Edward VIII HospitalAddington HospitalKing Dinizulu HospitalCato Manor CHCDurban Military Clinic
Mahatma Gandhi HospitalOsindisweni HospitalHlengisizwe CHCAir Force Base Clinic
Prince Mshiyeni HospitalSt Mary’s Hospital (Mariannhill)Inanda A CHCBluff Military Clinic
RK Khan HospitalWentworth HospitalInanda C CHC
KwaDabeka CHC
KwaMashu Poly Clinic
Newtown A CHC
Phoenix CHC
Tongaat CHC
iLembe DistrictGeneral Justice Gizenga Mpanza (Stanger) HospitalMontebello HospitalDarnall CHC
Umphumulo HospitalGlenhills CHC
Untunjambili HospitalGroutville CHC
Kwadukuza CHC
Ndwedwe CHC
Sundumbili CHC
Sisonke (Harry Gwala) DistrictSt Margaret’s TB MDR HospitalChrist the King HospitalPholela CHC
Umzimkhulu Psychiatric HospitalEast Griqualand and Usher Memorial Hospital
Rietvlei Hospital
St Apollinaris Hospital
Ugu DistrictPort Shepstone HospitalGJ Crooke’s HospitalGamalakhe CHC
Murchison HospitalIzongolwe CHC
St Andrew’s HospitalTurton CHC
uMgungundlovu DistrictGrey’s HospitalEdendale HospitalAppelsbosch HospitalBruntville CHC
Northdale HospitalCaluza CHC
East Boom CHC
Edendale CHC
Imbalenhle CHC
Mpophemeni & Balgowan CHC
Mpumuza CHC
Northdale CHC
Umkhanyakude DistrictBethesda HospitalJozini CHCMtubatuba Military Clinic
Hlabisa Hospital
Manguzi Hospital
Mosvold Hospital
Mseleni Hospital
Umzinyathi DistrictCharles Johnson Memorial HospitalPomeroy CHC
Church of Scotland Hospital
Dundee Hospital
Greytown Hospital
Uthukela DistrictLadysmith Provincial HospitalEmmaus HospitalSt Chad’s CHCLadysmith Military Clinic
Estcourt Hospital
King Cetshwayo DistrictNgwelezana HospitalQueen Nandi Regional HospitalCatherine Booth HospitalNseleni CHC
Ekombe Hospital
Eshowe Hospital
KwaMagwaza Hospital
Mbongolwane Hospital
Nkandla Hospital
Zululand DistrictVryheid Provincial HospitalBenedictine HospitaleDumbe CHC
Ceza Hospital
Itshelejuba Hospital
Nkonjeni Hospital
District/MunicipalityCentral/Tertiary/Specialised HospitalsRegional HospitalsDistrict HospitalsCommunity Health CentresMilitary Clinics
Dr Kenneth Kaunda Health DistrictKlerksdorp HospitalPotchefstroom HospitalNic Bodenstein HospitalBoiki Thlapi CHCPotchefstroom Military Clinic
Tshepong Tertiary HospitalVentersdorp HospitalBotshabelo CHC
Witrand Psychiatric HospitalGrace Mokgomo CHC
JB Marks CHC
Jouberton CHC
Leeudoringstad CHC
Promosa CHC
Super CHC
Tigane CHC
Tswelelang 2 CHC
Dr RS Mompati Health DistrictJoe Morolong Memorial HospitalBloemhof CHCGanyesa CHC
Christiana HospitalHuhudi CHC
Ganyesa HospitalMamusa CHC
Piet Plessis HospitalPudumoe CHC
Schweizer-Reneke HospitalReivilo CHC
Taung HospitalSkhing CHC
Vryburg HospitalTlakgameng CHC
Ngaka Modiri Molema Health DistrictBophelong Psychiatric HospitalMafikeng Provincial HospitalGelukspan HospitalAtamelang CHCMolopo Military Clinic
General de la Rey HospitalBorakalalo CHCZeerust Military Clinic
Lehurutshe HospitalColigny CHC
Ottosdal HospitalDelareyville CHC
Thusong HospitalDinokana CHC
Zeerust HospitalDitsobotla Local Areas CHC
Itsoseng CHC
Lekoko CHC
Lonely Park Clinic
Mahikeng CHC
Makgobistadt CHC
Montshioa Stadt CHC
Moshana CHC
Ottosdal CHC
Ramatlabama CHC
Ramotshere Moiloa CHC
Ratlou CHC
Sannieshof CHC
Tswaing CHC
Tswelelopele CHC
Unit 9 CHC
Bojanala Health DistrictJob Shimankana Tabane (Rustenburg) HospitalBrits HospitalBafokeng CHC
Koster HospitalBapong CHC
Moses Kotane HospitalBoitekong CHC
Letlhabile CHC
Mabeskraal CHC
Mathibestad CHC
Mogwase CHC
Pella CHC
Swartruggens CHC
Thlabane CHC
District/MunicipalityCentral/Tertiary/Specialised HospitalsRegional HospitalsDistrict HospitalsCommunity Health CentresMilitary Clinics
Cape Town Metro Health DistrictAlexandra Psychiatric HospitalKarl Bremer HospitalEerste River HospitalBishop Lavis CHCEersterivier Military Clinic
Brooklyn Chest HospitalMowbray Maternity HospitalFalse Bay HospitalDelft CHCGordons Bay Military Clinic
DP Marais TB HospitalNew Somerset HospitalHelderberg HospitalDu Noon CHCInstitute for Maritime Medicine
Groote Schuur HospitalVictoria HospitalKhayelitsha HospitalElsies River CHCWingfield Military Clinic
Lentegeur Psychiatric HospitalWestern Cape Rehabilitation CentreMitchells Plain HospitalGoodwood CHCYoungsfield Military Clinic
Red Cross War Memorial Children’s HospitalWesfleur HospitalGrassy Park CHCYsterplaat Military Clinic
Tygerberg Hospital2 Military HospitalGreen Point CHC
Guguletu CHC
Gustrouw CHC
Hanover Park CHC
Heideveld CHC
Khayelitsha CHC
Kleinvlei CHC
Kraaifontein CHC
Lotus River CHC
Macassar CHC
Mfuleni CHC
Michael Mapongwana CHC
Mitchells Plain CHC
Parow CHC
Retreat CHC
Symphony way CHC
Vanguard CHC
Cape Winelands DistrictBrewelskloof TB HospitalPaarl HospitalCeres HospitalTC Neumann CHC
Sonstraal TB HospitalWorcester HospitalMontagu HospitalWellington CHC
Robertson HospitalWorcester CHC
Stellenbosch Hospital
Eden DistrictHarry Comay TB HospitalGeorge HospitalAlan Blyth (Ladismith) HospitalAlma CHCOudtshoorn Military Clinic
Knysna HospitalBridgton CHCGeorge Military Clinic
Mossel Bay HospitalDelmedia CHC
Oudtshoorn HospitalKnysna CHC
Riversdale Hospital
Uniondale Hospital
Central Karoo DistrictNelspoort TB HospitalBeaufort West HospitalBeaufort West CHC
Laingsburg Hospital
Murraysburg Hospital
Prince Albert Hospital
Overberg DistrictCaledon HospitalGrabouw CHC
Hermanus Hospital
Otto Du Plessis Hospital
Swellendam Hospital
West Coast DistrictCitrusdal HospitalLangebaan Military Clinic
Clanwilliam HospitalSaldanha Military Clinic
Lapa Munnik Hospital
Malmesburgy Hospital
Radie Kotze Hospital
Swartland Hospital
Vredenburg Hospital
Vredendal Hospital