Hamilton East Medical Centre Patient Forms
New Patients
If you were born outside of New Zealand, please provide a passport, proof of residency, or a working visa endorsement. Australian citizens or permanent residents must also provide evidence that they intend to stay in New Zealand for at least two consecutive years.
Once all originals have been sighted and verified by our reception staff, an appointment can be booked with your GP.
To enrol with us, please complete and return the New Patient form with the required evidence to Hamilton East Medical Centre.
Aclasta Referral
This for is for medical practitioners who wish to refer patients to the Hamilton East Medical Centre Infusion Centre for Aclasta. Please download, complete this form and return to Hamilton East Medical Centre.
Automatic payments
Complete and return to your bank to arrange an automatic payment of existing and future medical costs.
Travel Questionnaire
Complete this form before coming to visit our Travel Doctor.
PADI Dive Medical
Please complete and return before making your Dive Medical appointment.
Health Information Privacy Statement
16 Beale Street, Hamilton East, Hamilton 3210
PO Box 4096, Hamilton 3247
Phone: 07 839 1232
Fax: 07 834 0928
Email: hemc@hemc.co.nz
Opening hours
Mon to Fri, 8.00am - 5.00pm
Want to contact us? Send us an email below or phone Hamilton East Medical Centre
The Contact form is for general enquiries and is only checked during office hours Monday to Friday.
- Please do not use this form - If you are experiencing a medical emergency, instead, dial 111
- Please do not use this form -To book an appointment or to request repeat prescription
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