CALL US: 09 834 6300  |  382 Te Atatu Rd, Auckland, New Zealand


To become a patient at Peninsula Medical Centre, you need to fill in the forms below and return the originals to us:


There are certain requirements for eligiblity, so please read the following carefully:

  • If you are enrolling a child 16 and over - they must sign their own enrolment form.
  • If you are not born in New Zealand, you MUST bring proof of eligibility e.g. passport/residency.
  • We require originals of the above forms for legal reasons (you may email a copy but an original must follow by post or at first appointment).


For more info on eligibility, check out the Ministry of Health's Guide to Eligibility for Publicly Funded Health Services.


Opening the above forms: You will need to have Adobe Acrobat Reader installed on your computer to open the above forms. You can download this for free here.