Patient Enrolment

To enrol with us, please complete the Patient Enrolment Form and the Transfer of Records Request Form.

Bring these in together with your passport and/or NZ Birth Certificate and photo ID. Please note we are unable to accept scanned, photocopied or emailed versions of these documents.

If you were born outside of NZ, please bring proof of your residency status and/or a working visa endorsement with you. Australian citizens or Australian permanent residents also need to provide proof that they intend to stay in New Zealand for at least 2 consecutive years (eg Tenancy agreement, Job offer etc.). Once all of the originals have been sighted and verified by our reception staff, we can then book you in for your first appointment.

Enrolment Information For Patients

Patient Enrolment Form 2019

Request To Have Medical Records Transferred
Fairfield Medical Centre Admins