Get Wai Clinic 2020-2026

Filling out the Wai Clinic enrolment form online is an essential step for users seeking healthcare services. This guide provides clear, step-by-step instructions to ensure that you complete the form accurately and efficiently.

Follow the steps to successfully fill out the Wai Clinic enrolment form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the date at the top of the form where indicated.
3. Select your title from the options provided (Mr, Mrs, Ms, Miss, Dr, or other) and enter your NHI number.
4. Provide your surname, first name, and preferred name in the designated fields.
5. Next, indicate your gender by selecting either Male or Female.
6. Enter your address details, including street, suburb, city, postcode, and country of birth.
7. Input your date of birth.
8. Complete the contact information fields: day phone, after hours phone, and mobile number.
9. Enter your email address.
10. Express your preference to receive results and health information electronically, providing your mobile number and email address for text messages and emails.
11. If applicable, fill in your Community Services Card and High User Health Card numbers, along with their expiry dates.
12. Select the ethnicities that apply to you from the provided options.
13. Indicate your residency status by selecting Yes or No for New Zealand residency.
14. Confirm your intent to use West Auckland Healthcare as your ongoing general practice provider.
15. Tick the relevant eligibility criteria that applies to your situation.
16. List any other family members along with their details including last name, first name, age, date of birth, gender, NHI, ethnicity, and residency status.
17. Review and ensure that all the information is accurate before proceeding.
18. At the end of the form, either save your changes, download, print, or share the completed form as required.

Complete your Wai Clinic enrolment form online to ensure timely access to healthcare services.