Patient Enrolment Form
Patient Medical Questionnaire
First appointment after your enrollment can only be face to face consultation, in conjunction with a nurse consult which will incur an additional $15 charge.
Please complete these forms to enroll with Redicare Medical. Please make sure you fill in all required (*) fields.
To verify your identity, we require you to submit a copy of government-issued photo ID and proof of eligibility for public health funding. We may request additional documents and information where necessary depending on individual circumstances.
Acceptable types of photo ID:
∙ All Passport
∙ New Zealand Driver’s License
Acceptable types of proof of eligibility:
∙ New Zealand Birth Certificate
∙ New Zealand Passport
∙ New Zealand Visa (resident visa, or work visa >=2 years)
**** Other New Zealand Visas please enquire at the reception