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.
For Online Enrolment
If you are transferring from another medical centre within New Zealand, please select yes to " transfer my records to this practice "; otherwise, you may be asked to provide a transfer of request form.
If you are using this form for children under 16, you may need to register as a casual patient if you are not already registered with our practice.
It is essential to provide the contact information of your next of kin.
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.
Automatic payments
Complete and return to your bank to arrange an automatic payment of existing and future medical costs.
Travel Questionnaire
Complete this form before coming to visit our Travel Doctor.
PADI Dive Medical
Please complete and return before making your Dive Medical appointment.
Health Information Privacy Statement

Dr Annabelle McGowan
Has a special interest in contraception, minor surgery and palliative care
Dr Denzil Berchmans
Has special interests in preventative medicine, public health, paediatrics, and sports medicine
Dr Emma Aldridge
Has special interests in Māori health and equity
Dr Zig
Khouri
Has special interest in general practice including sports & dive medicine, adolescent and geriatric medicine