Find Support
For Clients
For Professionals
For Business
About us
Blog
Sign in/ Register

Menu

Find Support
For Clients
For Professionals
For Business
About us
Blog
Sign in/ Register

LET'S START

Find Support
For Clients
For Professionals
For Business
About us
Blog
Sign in/ Register

Menu

Find Support
For Clients
For Professionals
For Business
About us
Blog
Sign in/ Register

Register as Client

Client registration form

Personal details

First Name*

Last Name*

E-mail*

Password*

Confirm Password*

Mobile No.*

Date of Birth

Acceptable Use Policy*

I have read and accept the Acceptable Use Policy

Privacy Policy*

I have read and accept the Privacy Policy

Client Agreement*

I have read and accept the Client Agreement

Gender

MaleFemale

City*

Emergency Contact Name

Emergency Contact No.

Medical aid details

Medical Aid Communications Consent

I hereby grant Headroom permission to communicate directly with my medical aid in case of queries. I acknowledge that the responsibility to submit my claims is mine.

Medical Aid Membership No.

Medical Aid Name

Dependent Code

Only fill in if you are not human

Login

Client Agreement

About

About us
FAQ
Codes of Conduct

privacy

Privacy Policy
Acceptable Use Policy
POPI & PAIA Manual

Users

For Clients
For Professionals
For Business

contact us

072 376 7935
admin@headroom.co.za
Emergency Contacts

Facebook

Instagram

If you are in a life threatening situation – do not use this site!
Call +911 or use these Emergency Contacts to get immediate help.

This site requires anonymous cookies and third party services to function properly. This site may store and process certain health related data for the purposes of providing counselling and related services. To continue using Headroom, you must consent to our Privacy policy. You can opt-out at any time. Ok No