Enrol at Flagstaff Medical
Join our practice. Download the forms below or send us an enquiry and we will be in touch.
Below are copies of our downloadable forms for enrolment at Flagstaff Medical Centre. To enrol with us please print the forms and bring these into the clinic, or alternatively you may scan and email these to reception@flagstaffmedical.co.nz.
- Enrolment Form - One form per person must be completed.
- Screening Form - To be completed for each person over 16 years old.
- Transfer of Records Request Form - Each person over the age of 16 must complete and sign their own form. Children under the age of 16 can be included on the parent's form.
- Patient Health Information Privacy Statement - to be read through thoroughly by the patient.
Please note if you were born outside of New Zealand we do require a copy of your Visa / NZ Passport or NZ Citizenship documentation.
The initial appointment with your GP will be for 30 minutes; this will also be charged as a double appointment.
We are currently not accepting any casual patients, but we do have one doctor taking current enrolments - Dr Olivia Egan.
Download our forms
To enrol, print the forms and bring them into the clinic, or scan and email them to reception@flagstaffmedical.co.nz. If you were born outside New Zealand we require a copy of your Visa / NZ Passport or NZ Citizenship documentation.