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.
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