Hamilton East Medical Centre Patient Forms

New Patients

All patients are required to provide a copy of their passport, proof of residency, or a working visa endorsement. Australian citizens or permanent residents must also provide evidence that they intend to stay in New Zealand for at least two consecutive years.

Hamilton East Medical Centre has staff that use AI tools to assist in providing healthcare services.
All health information will be used in accordance with legislative requirements.
AI will not be used for clinical decision-making or judgment. All data processed by AI tools will be handled securely and in compliance with data protection regulations.

To enrol with us, please complete the Online Enrolment Form below or return the New Patient Form below with the required evidence.

New Patient Form pdf

Online Enrolment Form

If you are transferring from another medical centre within New Zealand, you may be asked to provide a transfer of request form.

Aclasta Referral

This for is for medical practitioners who wish to refer patients to the Hamilton East Medical Centre Infusion Centre for Aclasta. Please download, complete this form and return to Hamilton East Medical Centre.

Aclasta Referral Form pdf

Automatic payments

Complete and return to your bank to arrange an automatic payment of existing and future medical costs.

Automatic Payment Form pdf

Travel Questionnaire

Complete this form before coming to visit our Travel Doctor.

Travel Questionnaire pdf

PADI Dive Medical

Please complete and return before making your Dive Medical appointment.

Padi Dive Medical Form pdf

Health Information Privacy Statement

Health Information Privacy Statement pdf

16 Beale Street, Hamilton East, Hamilton 3210

PO Box 4096, Hamilton 3247

EDI : hamestmc

Phone: 07 839 1232
Email: hemc@hemc.co.nz

Opening hours
Mon to Fri, 8.00am - 5.00pm

Do you want to contact us or leave feedback? Please send us an email below or phone Hamilton East Medical Centre

The Contact form is for general enquiries and is only checked during office hours Monday to Friday.

Please do not use this form - If you are experiencing a medical emergency, instead, dial 111
Please do not use this form -To book an appointment or to request repeat prescription