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  • Clinic Selection

  • Personal Information







  • Mobile

  • - -
  • Ethnicity




  • Community Services Card


  • High User Health Card


  • - -
  • Booking Appointments & Communication





  • Emergency Contact Person

  • Transfer of Records

  • In order to get the best care possible, I agree to the Practice obtaining my records from my previous Doctor. I also understand that I will be removed from their practice register, as I am only able to be enrolled at one practice at a time in New Zealand.

  • Declaration of Entitlement and Eligibility

  • Entitlement

  • Eligibility






  • Proof of Eligibility

  • Filename
    Status
    Size
    • Enrolment Aggreement

    • NB. Parent or Caregiver to sign if you are under 16 years

       

      I intend to use this practice as my regular and ongoing provider of general practice / GP / health care services.

      I understand that by enrolling with this practice I will be included in the enrolled population of this practice’s Primary Health Organisation (PHO) [PHO name…..], and my name address and other identification details will be included on the Practice, PHO and National Enrolment Service Registers.

      I understand that if I visit another health care provider where I am not enrolled I may be charged a higher fee.

      I have been given information about the benefits and implications of enrolment and the services this practice and PHO provides along with the PHO’s name and contact details.

      I have read and I understand the Use of Health Information Statement.  The information I have provided on the Enrolment Form will be used to determine eligibility to receive publicly-funded services. Information may be compared with other government agencies, but only when permitted under the Privacy Act.

      I understand that the Practice participates in a national survey about people’s health care experience and how their overall care is managed. Taking part is voluntary and all responses will be anonymous. I can decline the survey or opt out of the survey by informing the Practice. The survey provides important information that is used to improve health services.

      I agree to inform the practice of any changes in my contact details and entitlement and/or eligibility to be enrolled.

    • / /
    Location Id Title Url Path Email Enrolments Disabled;
    4 The Doctors Tikipunga The-Doctors-Tikipunga False
    5 The Doctors Kamo The-Doctors-Kamo
    6 The Doctors Kerikeri The Doctors Kerikeri
    7 The Doctors Hauraki Corner The-Doctors-Hauraki-Corner
    8 The Doctors Golf Road The-Doctors-Golf-Road True
    9 The Doctors New Lynn The-Doctors-New-Lynn
    11 The Doctors Onehunga The-Doctors-Onehunga
    12 The Doctors Massey Medical The-Doctors-Massey-Medical
    13 The Doctors Huapai The-Doctors-Huapai
    14 The Doctors Ti Rakau The-Doctors-Ti-Rakau
    15 The Doctors Quaymed Wynyard https://quaymed.co.nz/
    16 The Doctors Quaymed Britomart https://quaymed.co.nz/
    17 Albany Family Medical Centre Albany-Family-Medical-Centre
    18 The Doctors Birkenhead The-Doctors-Birkenhead True
    19 The Doctors Red Beach The-Doctors-Red-Beach
    20 Family Doctors Whangaparoa https://www.connectmed.co.nz/practice/family-doctors-whangaparaoa
    21 The Doctors Fred Thomas The-Doctors-Fred-Thomas
    22 The Doctors Tauranga The-Doctors-Tauranga
    23 The Doctors Bayfair The-Doctors-Bayfair
    24 The Doctors Papamoa The-Doctors-Papamoa
    25 The Doctors Welcome Bay The-Doctors-Welcome-Bay
    26 The Doctors Bureta The-Doctors-Bureta
    27 The Doctors Kopeopeo The-Doctors-Kopeopeo
    28 The Doctors Phoenix The-Doctors-Phoenix
    29 The Doctors Total Health The-Doctors-Total-Health
    30 The Doctors Napier https://www.thedoctorsnapier.com
    31 The Doctors Greenmeadows https://www.thedoctorsnapier.com
    32 EIT Health Centre https://www.thedoctorsnapier.com
    34 The Doctors Westshore https://www.thedoctorsnapier.com
    35 The Doctors Hastings The-Doctors-Hastings
    36 The Doctors Gascoigne The-Doctors-Gascoigne
    37 The Doctors Waipawa The-Doctors-Waipawa
    38 The-Doctors-Te-Whare-Hapara The-Doctors-Te-Whare-Hapara
    39 Team Medical Team-Medical
    41 The Doctors Motueka The-Doctors-Motueka
    42 The Doctors Christchurch South The-Doctors-Christchurch-South
    100 The Doctors Waimauku The-Doctors-Waimauku
    102 The Doctors St Heliers The-Doctors-St-Heliers
    103 Whaiora Medical Centre http://www.whaiora.nz/content/whaiora-medical-centre
    104 The Doctors Silver Fern The-Doctors-Silver-Fern
    105 The Doctors Middlemore The-Doctors-Middlemore
    106 Drury Surgery https://www.drurysurgery.co.nz/