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.