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Get the free General Practice Enrol / Re-Enrolment Form

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This form is used for enrolling or re-enrolling patients with East Tamaki Healthcare, capturing personal details, eligibility, and consent for health information sharing.
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How to fill out general practice enrol re-enrolment

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How to fill out General Practice Enrol / Re-Enrolment Form

01
Obtain the General Practice Enrol / Re-Enrolment Form from your local health authority or online.
02
Fill in your personal details, including your name, address, date of birth, and contact information.
03
Provide information about your Medicare number or health care card if applicable.
04
Indicate your preferred general practice and provide its details.
05
Complete any additional sections regarding your health history or specific needs.
06
Review the form for accuracy and completeness.
07
Submit the form as instructed, either online or in person at your preferred general practice.

Who needs General Practice Enrol / Re-Enrolment Form?

01
Individuals who are new to the healthcare system and require a general practitioner.
02
Patients who are changing their general practice.
03
Individuals who have moved to a new area and need to register with a local practice.
04
Those who have not enrolled previously and wish to access general practice services.
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The General Practice Enrol / Re-Enrolment Form is a document used by healthcare providers to enroll patients in a general practice or to re-enroll existing patients, ensuring they receive appropriate care and resources.
Patients seeking to join or continue their care within a general practice must file the General Practice Enrol / Re-Enrolment Form.
To fill out the form, patients need to provide personal details such as their name, contact information, health insurance details, and medical history as required.
The purpose of the General Practice Enrol / Re-Enrolment Form is to formally register patients with a general practice, enabling them access to healthcare services and continuity of care.
The form must report information such as the patient's full name, date of birth, address, contact information, medical history, and details of their health insurance.
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