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WAILUKU HEALTH Center Enrollment FORM 30 Constable Road, Wailuku P.O. Box 227, Wailuku Phone: 09 2359102 Fax: 09 2358827EDI: Wailuku×NHS Title×First×Family Namesake(s) Other Names Known By (e.g.
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How to fill out waiuku health centre enrolment

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How to fill out waiuku health centre enrolment

01
Go to the Waiuku Health Centre website or visit the centre in person to request an enrolment form.
02
Fill in all the required personal information such as name, contact details, and medical history.
03
Provide any relevant supporting documents such as identification or proof of address.
04
Submit the completed enrolment form to the Waiuku Health Centre either in person or via email.

Who needs waiuku health centre enrolment?

01
Anyone who wishes to receive medical care and services from the Waiuku Health Centre needs to enrol with them.
02
It is especially important for individuals who live in the Waiuku area and want a primary healthcare provider.
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Waiuku Health Centre enrolment is the process of officially registering with the health centre to become a patient and receive healthcare services.
Any individual who wishes to receive healthcare services from the Waiuku Health Centre is required to file an enrolment form.
To fill out the Waiuku Health Centre enrolment form, you will need to provide personal information, medical history, and contact details. The form can be completed online or in person at the health centre.
The purpose of Waiuku Health Centre enrolment is to establish a formal relationship between the patient and the healthcare provider, ensuring that the patient receives appropriate medical care.
The Waiuku Health Centre enrolment form typically requires information such as name, address, date of birth, contact details, emergency contacts, medical history, and insurance information.
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