Come Join Us! - Enrol at Kawerau Medical Centre
If you haven't joined yet, and would like to experience award winning service, come in or download an enrolment form today.
Enrolment takes just 5 minutes. Just come in or print out these forms and return them to us at Kawerau Medical Centre.
You can also enrol on your device by clicking the link below, dont forget to tick the transfer notes box. If you get stuck, give us a call at the Clinic -
click here.
Enrolment takes just 5 minutes. Just come in or print out these forms and return them to us at Kawerau Medical Centre.
You can also enrol on your device by clicking the link below, dont forget to tick the transfer notes box. If you get stuck, give us a call at the Clinic -
click here.
| 2021 Casual Registration Form |
| KMC Registration Form |
Benefits of Enrolling
Enrolling is free and voluntary. If you choose not to enrol you can still receive health services from a chosen GP / general practice.
- Advantages of enrolling are that your GP visits will be cheaper and you can access services linked to the PHO.
- Although not compulsory, we would recommend transferring your medical files so the Doctors can update your records.
Health Information Privacy Statement
I understand the following:
Access to my health information
I have the right to access (and have corrected) my health information under Rules 6 and 7 of the Health information Privacy Code 1994.
Visiting another GP
If I visit another GP who is not my regular doctor, I will be asked for permission to share information from the visit with my regular doctor or practice.
If I am under six years old or have a High User Health Card, or a Community Services Card, and I visit another GP who is not my regular doctor, he/she can make a claim for a subsidy, and the practice I am enrolled in will be informed of the date of that visit. The name of the practice I am enrolled in will be informed of the date of that visit. The name of the practice I visited and the reason(s) for the visit will not be disclosed unless I give my consent.
Patient Enrolment Information
The information I have provided on the Practice Enrolment Form will be:
· Held by the practice
· Used by the Ministry of Health to give me a National Health Index (NHI) number, or update any changes
· Sent to the PHO and Ministry of Health to obtain subsidised funding on my behalf
· Used to determine eligibility to receive publicly-funded services. Information may be compared with other government agencies, but only when permitted under the Privacy Act.
Health Information
Members of my health team may:
· Add to my health record during any services provided to me and use that information to provide appropriate care
· Share relevant health information to other health professionals who are directly involved in my care
Audit
In the case of financial audits, my health information may be reviewed by an auditor for checking a financial claim made by the practice, but only according to the terms and conditions of section 22G of the Health Act (or any subsequent applicable Act). I may be contacted be the auditor to check that services have been received. If the audit involves checking on health matters, an appropriately qualified health care practitioner will view the health records.
Health Programmes
Health data relevant to a programme in which I am enrolled (e.g. Breast Screening, immunisation, Diabetes) may be sent to the PHO or the external health agency managing this programme.
Other Uses of Health Information
Health information which will not include my name but may include my National Health Index Identifier (NHI) may be used by health agencies such as the District Health Board, Ministry of Health or PHO for the following purposes, as long as it is not used or published in a way that can identify me:
· Health service planning and reporting
· Monitoring service quality, and
· Payment
Research
My health information may be used for health research, but only if this has been approved by an Ethics Committee and will not be used or published in a way that can identify me.
Except as listed above, I understand that details about my health status or the services I have received will remain confidential within the medical practice unless I give specific consent for this information to be communicated.
Access to my health information
I have the right to access (and have corrected) my health information under Rules 6 and 7 of the Health information Privacy Code 1994.
Visiting another GP
If I visit another GP who is not my regular doctor, I will be asked for permission to share information from the visit with my regular doctor or practice.
If I am under six years old or have a High User Health Card, or a Community Services Card, and I visit another GP who is not my regular doctor, he/she can make a claim for a subsidy, and the practice I am enrolled in will be informed of the date of that visit. The name of the practice I am enrolled in will be informed of the date of that visit. The name of the practice I visited and the reason(s) for the visit will not be disclosed unless I give my consent.
Patient Enrolment Information
The information I have provided on the Practice Enrolment Form will be:
· Held by the practice
· Used by the Ministry of Health to give me a National Health Index (NHI) number, or update any changes
· Sent to the PHO and Ministry of Health to obtain subsidised funding on my behalf
· Used to determine eligibility to receive publicly-funded services. Information may be compared with other government agencies, but only when permitted under the Privacy Act.
Health Information
Members of my health team may:
· Add to my health record during any services provided to me and use that information to provide appropriate care
· Share relevant health information to other health professionals who are directly involved in my care
Audit
In the case of financial audits, my health information may be reviewed by an auditor for checking a financial claim made by the practice, but only according to the terms and conditions of section 22G of the Health Act (or any subsequent applicable Act). I may be contacted be the auditor to check that services have been received. If the audit involves checking on health matters, an appropriately qualified health care practitioner will view the health records.
Health Programmes
Health data relevant to a programme in which I am enrolled (e.g. Breast Screening, immunisation, Diabetes) may be sent to the PHO or the external health agency managing this programme.
Other Uses of Health Information
Health information which will not include my name but may include my National Health Index Identifier (NHI) may be used by health agencies such as the District Health Board, Ministry of Health or PHO for the following purposes, as long as it is not used or published in a way that can identify me:
· Health service planning and reporting
· Monitoring service quality, and
· Payment
Research
My health information may be used for health research, but only if this has been approved by an Ethics Committee and will not be used or published in a way that can identify me.
Except as listed above, I understand that details about my health status or the services I have received will remain confidential within the medical practice unless I give specific consent for this information to be communicated.