Secure Referral Portal

Submit a secure referral

For referring practitioners and patients in South Africa and the SADC region. Clinical information and imaging are encrypted and delivered directly to the practice.

POPIA Section 72 · Cross-border transfer

You appear to be submitting from outside South Africa

Health information you submit will be transferred from outside South Africa to a practice in South Africa, and processed on cloud infrastructure outside South Africa. The data protection law of outside South Africa may also apply. Before anything is submitted, the form shows you exactly which categories of information are involved and asks for your explicit consent.

Data map · categories of information in this referral

Categories of personal information that will be transferred
Identity	Patient name, date of birth, sex, passport or national ID number
Contact	Telephone number and email address of the patient or guardian
Funding	Medical aid or insurer name and membership number
Clinical	Referral letter, symptoms, diagnosis, medication, allergies and relevant history
Imaging	CT, MRI and other radiological studies (DICOM), optionally de-identified
Referrer	Name, practice, registration number and contact details of the referring practitioner

Responsible party: Dr Nadir Kana Inc., Johannesburg, South Africa. Purpose: clinical review, administration, funder authorisation and communication with the referring practitioner. This website and referral portal run on secure cloud infrastructure (Vercel) with servers outside South Africa, including in the United States and the European Union. Information you submit is encrypted and processed on that infrastructure under a written data processing agreement.

Who is submitting this referral?

A referring practitionerGP, specialist or dentist referring a patientA patient or guardianSelf-referral with your own records

Section 1Referring practitioner

Full name

Practice or hospital

Registration number

HPCSA, BHPC, MDPCZ, HPCZ or equivalent

Country of practice

Email address

Telephone

Section 2Patient details

First name(s)

Surname

Date of birth

Sex

Country of residence

Patient or guardian telephone

Patient or guardian email (optional)

Parent / legal guardian

Required for patients under 18

Medical aid / insurer

e.g. Pula Medical Aid Fund, Bomaid, Cimas

Membership number

Section 3Clinical information

Clinical service

Clinical urgency

Clinical summary and reason for referral

Presenting symptoms, duration, relevant findings and the question you would like answered

Current medication and allergies

This portal is strictly for elective administrative referrals and is not monitored 24/7. In a medical emergency, immediately go to the nearest casualty department or contact Netcare 911 on 082 911.

Section 4Referral letter & imaging

Upload the referral letter, reports and radiological studies. DICOM files are preferred over photographs of films or screens.

De-identify DICOM files in this browser before uploadRemoves patient name, ID, date of birth, address, institution and physician names from DICOM headers on your device, so they are never transmitted. Patient sex and age are retained for clinical context. Text burned into the image pixels is not removed.

Drag DICOM files, a DICOM folder, or documents here

.dcm files, extension-less DICOM, PDF, JPEG, PNG or ZIP · up to 250.0 MB in total

Section 5Consent

All required boxes must be ticked before the referral can be submitted. Read the privacy notice for full details.

Processing of health information (required)I confirm that the patient (or their parent or legal guardian) has consented to this referral and to the processing of their personal and health information by Dr Nadir Kana Inc. for clinical review and administration.

Where your information is processed · cross-border transfer

This website and referral portal run on secure cloud infrastructure (Vercel) with servers outside South Africa, including in the United States and the European Union. Information you submit is encrypted and processed on that infrastructure under a written data processing agreement. The patient lives in Botswana, so the information is also transferred from Botswana to South Africa, and the data protection law of Botswana may apply.

Data map · categories of information in this referral

Categories of personal information that will be transferred
Identity	Patient name, date of birth, sex, passport or national ID number
Contact	Telephone number and email address of the patient or guardian
Funding	Medical aid or insurer name and membership number
Clinical	Referral letter, symptoms, diagnosis, medication, allergies and relevant history
Imaging	CT, MRI and other radiological studies (DICOM), optionally de-identified
Referrer	Name, practice, registration number and contact details of the referring practitioner

Consent to processing outside South Africa (required)I explicitly consent to the personal and clinical information in this referral being transmitted to, and processed on, secure cloud infrastructure hosted outside South Africa (including the United States and the European Union), subject to strict data processing agreements, and to its transfer from Botswana to South Africa. I have read the categories of information listed above.

Not for emergencies (required)I understand that this portal is strictly for elective, administrative referrals and is not monitored 24/7. In a medical emergency, I will go to the nearest casualty department or contact Netcare 911 on 082 911.

Use of artificial intelligence (choose one)

The practice can use a secure AI tool to summarise referral information. It does not make clinical decisions or decide priority; Dr Kana reviews and signs off every AI-assisted output. How the practice uses AI

I decline the use of AI systems. This will not affect the quality, priority or timing of care.I consent to the use of secure AI systems to help summarise this referral. Dr Kana reviews every referral personally and makes all clinical decisions.

Transmitted over TLS and encrypted at rest (AES-256-GCM). Not sent by email.