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Application for Enrollment Form RICCARDO CLINIC 4-6 Sandhurst Rd, Upper Riccardo PO Box 6081 Christchurch 8442 Tel: 03 3433661 Fax: 03 3433662 EDI: recycling Title First* Family Name* Name(s) Other.

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How to fill out the Riccarton Clinic Enrolment online

Completing the Riccarton Clinic Enrolment form online is a straightforward process that ensures you receive the necessary primary health care services. This guide provides clear instructions for each section of the form, helping you navigate your enrolment with confidence.

Follow the steps to accurately complete your enrolment form.

  1. Press the ‘Get Form’ button to access the Riccarton Clinic Enrolment form and open it in your preferred editor.
  2. In the title section, input your first name and family name, ensuring both fields are completed as they are required.
  3. Provide additional names if applicable, such as other names you are known by or your preferred name.
  4. Indicate your gender by selecting either male or female.
  5. Fill in your physical address, including your street number, suburb, city or town, and postcode.
  6. Record your date of birth in the specified format (day, month, year).
  7. If applicable, provide your Community Services Card details, including card number and expiry date.
  8. Enter your postal address if it differs from your physical address.
  9. Complete your contact details by including day, night, and cell phone numbers, as well as your email address for communication.
  10. Select your preferred doctor if you have one.
  11. Indicate your smoking status by circling the relevant option—never, current, ex-smoker, or not applicable.
  12. Identify your ethnic group by marking one or more boxes that apply to you.
  13. Grant consent for the practice to obtain your medical records by providing your previous doctor's name and address.
  14. Confirm your eligibility for enrolment by circling the appropriate criteria that applies to you.
  15. Read and agree to the terms and conditions by signing and dating the form, including your parent or caregiver’s signature if you are under 16 years old.
  16. Finally, save your changes, download, or print the completed form as needed for your records.

Complete your Riccarton Clinic Enrolment form online today for timely access to health care services.

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How do you enrol? If you are eligible, enroling is easy – and free. You can contact your local doctor on the Healthpoint website. It can take up to three months for enrolment to take place, so it is a good idea to enrol now, even if you are completely healthy.

Standard Consultations (15-minute appointment) with the GP. Consultation (in-person or virtual) Enrolled* and Funded** $35 Funded AND Community Services Card $19.5 Non-funded but eligible for publicly-funded healthcare $75 Non-funded AND Community Services Card $6030 more rows

In New Zealand, you can choose the general practice that you visit. For a list of practices and their fees, check the website of your local primary health organisation (PHO). The New Zealand Medical Council has a register of practising GPs and advice on choosing a doctor.

How do you enrol? If you are eligible, enroling is easy – and free. You can contact your local doctor on the Healthpoint website. It can take up to three months for enrolment to take place, so it is a good idea to enrol now, even if you are completely healthy.

Once you've chosen a surgery, you'll need to fill in a registration form. These are usually available on: the NHS App. the GP surgery's website.

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