Enrol
As a member of Auckland PHO (Primary Health Organisation), our clinic receives government funding to subsidise fees and provide a range of additional services for enrolled patients.
Our Takanini branch is a Community Nurse Prescriber Lead Clinic. Should any health concerns arise beyond their scope, you may be referred to our Mount Roskill branch for further assistance.
This form is for New Zealand Citizens, Residents, and Valid Entry Permits Covering 2 Years or More.
This form is for Visitor or Student visa holders, and Work Visas under 2 years.
Our clinic is open for new enrolments.
For more information on eligibility, click here.
For new-born children, upload a passport/visa copy of x1 parent to proceed with enrolment. Provide your child’s Birth Certificate or Passport via email as soon as it is made available.
An Enrolment form should be treated as a legal document. Fill out the relevant form as accurately and to the best of your knowledge and ability.
Our practice works strictly under Ministry of Health guidelines. All Enrolment forms must be signed, dated and have all relevant documents of personal identification attached.
Our preferred method of enrolment is via our Online Enrolment Portal. If you are unable to access the portal and require a soft copy of the Enrolment Form, please click here to download the form.
Enrolment can take up to 5 working days to process depending on how busy our clinic is.
If you or anyone you know requires assistance filling this form, contact our team.
Disability Support Services - click here for more information.
Please click here to access our Patient Enrolment Information.
View our Health Information Privacy Statement.