We are now accepting new patients.

Each family member must complete a Patient Enrolment Form. To be accepted, this must be completed in full, signed, dated and ID attached.

Each family member 16 years and over must complete a Request for Transfer of Medical Notes form. If children are under the age of 16 years, include them on the parent/guardian request for notes form.

A form of ID is required for all patients. For New Zealand residents this can be a Passport or Birth Certificate.

Overseas patients must provide Passport and current Visa

Please fill in the below forms and can be returned by

• email – hello@fhc.co.nz,
• mail – PO Box 8, Feilding
• In person

FHC Enrolment Form 

FHC Medical Record Transfer Form

FHC MMH Form

Enrolment process can take up to 10 working days.