Hamilton East Medical Centre Patient Forms
New Patients
Dr Zig Khouri and Dr Asit Parekh are currently the only doctors taking on new patients, however if you are wanting to enrol with another doctor this will be by request only and assessed case by case.
If you were born outside of New Zealand, please provide a passport, and proof of residency or a working visa endorsement. Australian citizen’s or Australian permanent resident’s also need to provide proof that they intend to stay in New Zealand for at least 2 consecutive years.
Once all of the originals have been sighted and verified by our reception staff, we can then book you in for your first appointment.
To enrol with us please complete and return 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