Enrolment

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 [email protected]

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.

 
Photo of the front of the Flagstaff Medical Centre