Get Nhif Choosing Hospital Online

Filling out the Nhif Choosing Hospital Online form is an essential step for users seeking admission to Gillies Hospital. This guide will provide clear instructions to help you navigate the form with ease and accuracy.

Follow the steps to complete the online admission form effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in your personal and administration details. Include your surname (family name), first name(s), preferred name, and date of birth in the designated fields. Select your gender and provide your National Health Index number, if known. Include both your residential and postal addresses, along with your email address and contact numbers.
3. Indicate if you are a New Zealand resident by selecting 'Yes' or 'No'. If you select 'No', ensure to complete the ‘Acknowledgement Form: Non NZ Resident'. If applicable, provide your New Zealand address if you are visiting from overseas.
4. Select your ethnicity by circling one or more options from the provided categories. Fill in your general practitioner’s contact details and any surgeon associated with your admission.
5. Complete the next of kin/contact person section by entering their name, relationship to you, address, and contact numbers.
6. In the payment details section, indicate how your procedure will be paid by ticking the relevant payment options and filling in any required information such as your insurance company and policy number.
7. If you are using a credit card for payment, complete the credit card authorization section by providing your card type, number, expiry date, and name on the card. Sign to indicate your understanding of the terms.
8. Review the agreement section and ensure you understand the obligations related to payment and authorization. Complete the final fields, including your name, signature, and the date, or indicate your relationship to the patient if you are not the patient.
9. Once all sections are completed and verified, you can save changes, download, print, or share the completed form as needed.

Start completing the Nhif Choosing Hospital Online form now and secure your admission efficiently.