Hamilton East Medical Centre Patient Forms
New Patients
All patients are required to provide a copy of their 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.
To enrol with us, please complete and return the New Patient form with the required evidence.
If you are transferring from another medical centre within New Zealand, you may be asked to provide a transfer of request form.
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
Doctors who are currently accepting new patients
Dr Emma Aldridge
Has special interests in Māori health and equity
Dr Simon Hornby
Has special interest in sports and exercise medicine, soft tissue and joint injections, and men's health
Dr Zig Khouri
Has special interest in general practice including sports & dive medicine, adolescent and geriatric medicine