Enrol🔵Clinic is our online new enrolment form at HealthZone Medical.
Enrol🔵Clinic helps those eliglble to receive care at HealthZone Medical, with funded cheaper doctor visits and other benefits, by completing a quick registration form to enrol online.
You can also enrol up to 4 eligible dependants younger than 16 yrs at the same time.👶🧑👦👧
Fields marked with a * are required entry fields that must be completedStart >>
I am entitled to enrol because I am residing permanently** in New Zealand.
(** = Residing permanently in NZ means that you intend to be resident in New Zealand for at least 183 days in the next 12 months).
You can choose to enrol your dependant children under 16 years old with HealthZone Medical as long as you are their parent or legal guardian. You may be asked for documentation to confirm that you have the authority for any children you enrol. This evidence could be a birth certificate, adoption papers, guardianship papers or NZ Family Court confirmation.Add Dependant children SKIP >>
To receive government subsidised doctor visits, you need to present evidence of eligibility, as per the statement/options below
I confirm that, if requested, I can provide proof of my eligibility, and:
Please provide a photo of your proof of eligibility with your form.
If you are a permanent resident, this is your documentation or correspondence from NZ Immigration.
Otherwise, this would be your Passport or New Zealand Birth Certificate.
In order to obtain the best health care possible, the practice needs my health previous records.
By completing details below, I hereby agree to the practice obtaining my records from my current/previous doctor and their practice/clinic.
I also understand that I will be removed from that practice register.
NB. Parent or Caregiver to sign if you are under 16 years
Your enrolment is being submitted to practice HealthZone Medical.
Please wait for this to finish and for final confirmation.