BOOKLET COVER.pub - KwaZulu-Natal Department of Health

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GJ CROOKES HOSPITAL RECEPTION/SWITCHBOARD DEPARTMENT INFORMATION REQUIRED In order for us to complete your documents successfully, we will need the following documents from you: PATIENTS STAFF 1. Copy of your I.D Book. 2. Copy of your Pension card or book – whether private, civil or old age pension. 3. Copy of your latest Pay Slip (if married – copy of your spouses pay slip as well). 4. If unemployed proof of Unemployment – a U.I.F card, that is not older than 6 months – plus supporting Affidavits stating that you are unemployed (if married – same for your spouse). 5. If you are employed, your last salary advice and your spouses if married. If you are self-employed, copies of your latest Tax Returns or VAT certificate for your business or latest statements from your bookkeeper. If this is unavailable, a Bank Statement for the last 3 months would be required. 6. If on medical aid please supply your card. 1. Copy of your I.D. 2. Persal Number. 3. If married spouse’s details and salary advice. 4. Complete the assessment form provided and return the documents to the Revenue Department with a copy of your latest salary advice and your copy of your I.D Book. 5. If on medical aid please supply your card.
GJ CROOKES HOSPITAL RECEPTION QUESTIONNAIRE Kindly complete this questionnaire and return it to the Reception Department or post it to: THE HOSPITAL MANAGER GJ Crookes Hospital P/Bag x5501 SCOTTBURGH 4180 * NAME: ________________________________________ TELEPHONE NUMBER: ( ) (H) ( ) (W) ________________________ (CELL) POSTAL ADDRESS: ________________________ ________________________ ________________________ ________________________ 1. Were you pleasantly greeted when you were being attended to? __________________________________________________________________________________ 2. Were you satisfied with the services that you received? __________________________________________________________________________________ 3. Were you satisfied in the manner that you were attended to? __________________________________________________________________________________ 4. If you have ever phoned the hospital – was the telephone answered to your satisfaction, if not please comment? __________________________________________________________________________________ __________________________________________________________________________________ SUGGESTIONS _____________________________________________________________________________________ _____________________________________________________________________________________ COMPLAINTS _____________________________________________________________________________________ _____________________________________________________________________________________ REQUESTS _____________________________________________________________________________________ _____________________________________________________________________________________ * Not compulsory – you may remain anonymous. Your comments are nevertheless valued.
Page 1 and 2: GJ CROOKES HOSPITAL PATIENT ADMINIS
Page 3 and 4: OUR MISSION STATEMENT 1. To provide
Page 5 and 6: IMIGOMO YA BANTU PHAMBILI (BATHO PE
Page 7: IFOMU YOKUCWANINGS NGOKUSEBENZA SIK
Page 10 and 11: GJ CROOKES RECEPTION DEPARTMENT WHO
Page 15 and 16: GJ CROOKES HOSPITAL RECEPTION DEPAR
Page 17 and 18: GJ CROOKES HOSPITAL REVENUE DEPARTM
Page 24 and 25: We are here to assist you as soon a
Page 27: GJ CROOKES HOSPITAL REVENUE DEPARTM

BOOKLET COVER.pub - KwaZulu-Natal Department of Health

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