GP and HEALTH PROFESSIONAL'S ONLINE REFERRALS Dear Referrer,Thank you for considering our services.For your convenience, you can refer patients to us by uploading a referral and any test results by using the form below.The upload supports .doc(x), .jpg and .pdf format. REFERRER'S CONTACT Required fields * Referrer's Name Referrer's Email Patient's Name Patient's Phone Number Reason for Referral Referral File Test Results File Submit New Patient Registration Form Andries de Viliers is a highly accomplished orthopaedic surgeon with a long standing commitment to outstanding patient care.