Patient Registration - Halswellhealth

We are pleased to advise that Halswellhealth is now enrolling new patients. Because we are anticipating a large volume of enrolment requests, we are managing this by way of a waiting list. Please note we DO NOT accept casual patients.

Enrolments will be processed in order of receipt and depend on our ongoing capacity. You will be advised once your enrolment has been fully processed.

Please review our team page for an understanding of which GP’s are currently enrolling. We recommend you consider selecting a backup in the event your initial choice is oversubscribed.

Should you wish to enrol with us please continue below. Anyone over the age of 16 years must complete their own enrolment form.

Patient Details

Full Name

Residential Address

Date of Birth

Phone Number

Before checking a checkbox, please make sure to click the link to view the attached document.

Enrolling Area

I am eligible to enrol as I reside in the enrolling area*

We will review these boundaries periodically and reserve the right to change them if we deem it necessary.

Proof of address

Maximum file size: 2MB

Welcome to Halswellhealth information

I have read the Welcome to Halswellhealth Information*

Health Information Privacy Statement

I have read the Health Information Privacy Statement*

Enrolling with General Practice

I have read the Enrolling with General Practice*

Terms of Trade

I have read and agree to the Terms of Trade*

Terms of Trade Signature

Clear

Terms of Trade Date

Please select the Doctor you want to be enrolled with

For 40 year olds and over: The Breast screening programme commences from age 45. Do you consent to be enrolled on this programme:

Yes

Not applicable

For 0–5-year-olds: The Before School Check (B4SC) and Immunisation programmes are an important part of protecting our Tamariki. We will contact parents / caregivers as these immunisations and the check fall due. If we are unable to contact a parent/caregiver, we may provide contact details and identifying information to either Waitaha PHO Mobile Team (B4SC) or Te Whatu Ora(Immunisations) Do you consent to your child or dependant being part of this programme?

Yes

Not applicable

What is your spoken language?

Vaping Status

Do you require an interpreter?

Yes

Once you click the Next button below, you will be directed to a new page to complete the next part of the enrollment process.

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Patient Details