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Enrol as a patient

When you enrol with a GP clinic in our network, you’ll also gain access to our online GP service Bettr, along with our nationwide network of urgent care clinics - all for the enrolled patient fee.

Enrolling is free and takes less than five minutes. All you need is your passport and the relevant visa if you are not a New Zealand citizen.

Enrol once, access them all

* Required Fields

Personal information

First Name *

Middle Name
(Optional)

(providing your middle name helps us to distinguish between you and other patients with the same surname or birthdate)

Last Name *

Gender *

Male
Female
Gender Diverse

Mobile Phone *

Date of Birth *

Day

Month

Year

Please enter a valid date.

Email Address *

Country of Birth *

Place of Birth *

Ethnicity *

Other Ethnicities
(Optional)

Which Iwi / Hapu group do you belong to?
(Optional)

Street Address *

Suburb *

City *

Postcode *

Location *

Auckland
Christchurch

Clinic Name *

Is the patient 16 or over? *

Authority Name *

Authority Relationship *

Authority Phone *

Authority Basis *

I give permission for my most recent GP to transfer my patient notes *

Reason *

I agree to receive Email / SMS comms and participate in surveys *

e.g. results, recalls, and health related matters.

Emergency Contact Name *

Emergency Contact Relationship *

Emergency Contact Phone Number *

Community Service Card *

High User Card *

Are You Currently a: *

Non-smoker
Smoker
Vaper
Ex-Smoker

Smoking Status *

Quit Date: *

Type of Smoking *

Cigarettes
Tobacco

Quantity a Day *

Would You Like Help To Stop Smoking? *

If yes we will refer you for this service, someone will be in contact to discuss support options to stop smoking.

Medical information & eligibility

Eligibility Title
(Optional)

Eligibility

Eligibility Service
(Optional)

I intend to use Tamaki Health as my regular and ongoing provider of general practice / GP / First Level primary health care services.

Eligibility Entitlement
(Optional)

I am entitled to enrol because I am residing in New Zealand and meet one of the following eligibility criteria. The definition of residing permanently in NZ is that you have intend to be resident in New Zealand for at least 183 days in next 12 months.

Eligibility Heading
(Optional)

I am eligible to enrol because:

Enrolment Eligibility *

I am a New Zealand citizen (inc. Cook Islands, Niue or Tokelau)
I hold a resident visa or permanent resident visa (or a residence permit if issued before December 2010)
I am an Australian citizen or Australian permanent resident AND able to show I have been in New Zealand or intend to stay in New Zealand for at least 2 consecutive years
I have a work visa/permit and can show that I am able to be in New Zealand for at least 2 years (previous permits included)
Other

Eligibility Other Options
(Optional)

I am an interim visa holder who was eligible immediately before my interim visa started
I am a refugee or protected person OR in the process of applying for, or appealing refugee or protection status, OR a victim or suspected victim of people trafficking
I am under 18 and in the care and control of a parent/legal guardian/adopting parent who meets one criterion listed above
I am 18 or 19 years old and can demonstrate that, on the 15th of April 2015, I was the dependant of an eligible work permit holder
I am a NZ Aid Programme student studying in NZ and receiving official Development Assistance funding (or their parent or child under 18 years old)
I am participating in the Ministry of Education Foreign Language Teaching Administration scheme
I am a Commonwealth Scholarship holder studying in NZ and receiving funding from a New Zealand university
I am under the Commonwealth Scholarship and Fellowship fund

Enrolment Agreement

Enrolment Agreement
(Optional)

My agreement to the enrolment process (NB Parent or caregiver to sign if you are under 16 years). I choose to enrol with this practice as my regular and ongoing provider of general practice / GP / First Level primary health care services.

Enrolment Agreement
(Optional)

I understand that by enrolling with this practice I will be enrolled with the Primary Health Organisation (PHO) this practice belongs to, and my name address and other identification details will be included on both the Practice and the PHO Enrolment Register.
I understand that as an enrolled patient in the Tamaki Health network, I can now also access online GP service Bettr, and any White Cross or Local Doctors urgent care clinics in New Zealand, and I will only pay the enrolled patient fee of that clinic.
I have been given information about the benefits and implications of enrolment with the PHO, and their contact details. I have read and understood the requirements of enrolling with one PHO and choose Tamaki Health Group’s PHO to be my PHO.
I have read and I agree with the Health Information Privacy Statement.
I agree to inform the practice of any changes in my eligibility.
I authorise Tamaki Health Group to pass on parts of my health information to the Ministry Of Health.
I understand that relevant health information may be forwarded to other health professionals involved in my care.
I understand that my health information is accessible by all members of the primary care team and can be accessed at any Tamaki Health Group practice so that continuity of care is facilitated through a shared health record.
I understand that all members of the primary health care team have signed employment contracts containing confidentiality clauses or have signed confidentiality agreements and have completed privacy training so that my personal health information is kept confidential.
I understand that certain information in my daily clinical records can be made confidential to one GP only if required.
I also understand that it is my right under the Health Information Privacy Code 1994 to ask to see my personal or Health Information held by the doctor. I can ask for it to be corrected if it is wrong.
I understand that if I choose to see another doctor I will register at that practice as a Casual Patient, and if I see a GP outside of Tamaki Health Group practices frequently, I may be dis-enrolled from the Tamaki Health Group practices.

Enrolment Agreement *

I accept the above enrolment agreement

Digital Signature
(Optional)

Your Signature:

You must provide a signature

Proof of Eligibility - Your passport plus the relevant Visa if you are not a NZ Citizen

Proof of Eligibility *