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NEWA Family Medical Centre
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Enrol

Enrolment guide

How to fill in the enrolment form

Our online enrolment form is in English. This guide takes you through it step by step, so you can keep it open alongside the form.

Open the enrolment formCall reception for help

The form opens in a new tab, so this guide stays open here.

Before you start

  • About 15–20 minutes. From step 3 you can press “Save and submit later” and come back to it.
  • A clear photo or scan of your ID (JPG, PNG or PDF, up to 5MB). If you are not a New Zealand citizen, you will usually need your passport and your visa.
  • Your passport’s expiry date.
  • Your NHI number, if you know it (it is fine if you don’t).
  • The name of the pharmacy you use.
  • Your mobile number and email address.
  • The name and mobile number of your next of kin.
  • If you work: your employer’s name and workplace address.

Three things to know

  1. Type everything in English letters. Write your name exactly as it is on your passport.
  2. Addresses are found by typing the street number and name, then choosing from the list that appears.
  3. Each person needs their own form, including children. For a child, fill in the child’s details; the parent signs at step 10.

Want to read the form in your language?

Your browser can translate the page for you: in Chrome, use “Translate” in the menu; on an iPhone, tap the “aA” button in Safari’s address bar. Use the translation only to understand the questions — answer in English, and treat the English wording as the one that counts.

Step by step

  1. Step 1 · Welcome to Our Practice

    Choose how to register

    Choose to enrol, then open and accept the privacy information.

    On the formEnrolled Patient
    Make Newa your regular GP. Choose this one to enrol.
    On the formCasual Patient
    Visit occasionally without enrolling.
    On the formterms and conditions
    Opens the national statement on how your health information is used: why it is collected, who it is shared with, and your right to see and correct it. Read it and press “Accept” at the bottom.

    Watch out

    • The “Next” button stays grey until you have pressed “Accept”.

  2. Step 2 · Eligibility

    Confirm you can enrol

    Enrolment is for people eligible for publicly funded health care in New Zealand.

    On the formI am entitled to enrol because I am residing permanently in New Zealand.
    Tick this if you plan to live in New Zealand for at least 183 days in the next 12 months.
    On the formAre you a New Zealand citizen?
    Yes or No.
    On the formI hold a resident visa or a permanent resident visa
    If you answered No: tick this if you hold a resident or permanent resident visa.
    On the formI have a work visa/permit and can show that I am able to be in New Zealand for at least 2 years
    For work visa holders who can be in New Zealand for at least two years (earlier visas count).
    On the formI am under 18 years and in the care and control of a parent/legal guardian…
    For children whose parent or guardian meets one of the other criteria.
    On the formI understand I will need to provide documentation to prove my eligibility status
    Tick this. You will upload your documents at step 9.

    Watch out

    • Other options cover Australian citizens and residents, interim visas, refugees and protected persons, and some scholarship holders. If none fits, call reception before you continue.
    • Your answers here decide which documents step 9 asks for.

  3. Step 3 · Personal Info

    Your personal details

    Boxes marked * must be filled in.

    On the formNHI (if known)
    Your National Health Index number: 3 letters and 4 more characters, e.g. ABC1234. Leave it blank if you don’t know it.
    On the formFirst/Given Name · Last/Family Name
    In English letters, as on your passport. Your family name goes in “Last/Family Name”.
    On the formDate of Birth
    Day, month, year — e.g. 05 / 09 / 1985.
    On the formCountry of Birth
    Type, then choose from the list. Mainland China: “China (People’s Republic)”. Taiwan: “Taiwan”. Hong Kong: “Hong Kong”. South Korea: “Korea, Republic of (South Korea)”.
    On the formEthnicity
    Choose from the list, then press “Done”. Chinese: “Chinese”. Korean: “Other Asian” (there is no separate Korean option). You can choose more than one and mark one as “Primary”.
    On the formGender · Sex at Birth · Marital Status
    Gender is required; the others are optional.
    On the formPreferred Doctor
    Optional — choose a doctor if you have a preference.
    On the formPreferred Pharmacy
    Required. Type the pharmacy’s name or suburb and choose it from the list.

    Watch out

    • For a child, these are the child’s details, not the parent’s.

  4. Step 4 · Contact Info

    How to reach you

    Your phone, email and address.

    On the formCell Phone
    +64 is already filled in. Type your mobile without the first 0 — 021 123 4567 becomes 21 123 4567.
    On the formEmail
    Your email address.
    On the formFind address in eSAM
    Type your street number and street name in English, then choose your address from the list. The boxes below fill in by themselves.
    On the formSame as Permanent Address
    Tick this for your postal address, unless your mail goes somewhere else.
    On the formPreferred Contact Methods · Select Preferred Contact
    Some methods are already ticked; change them if you like. Then choose one as your main way to be contacted.

    Watch out

    • “Post” is ticked by default, which is why a postal address is required.

  5. Step 5 · Additional Info

    Cards, records and consents

    Each of these needs an answer.

    On the formAccount Holder
    Who pays the bills: “Self”, or “Other” (for example a parent paying for a child).
    On the formCommunity Service Card · High User Health Card
    Yes if you hold the card, otherwise No.
    On the formTransfer of Records
    “Yes” if you are enrolled with another GP in New Zealand now: we will ask for your records, and you will leave their register (you can only be enrolled at one practice). “Not applicable” if you have never been enrolled with a New Zealand GP.
    On the formWould you like to enter insurance information?
    Optional.
    On the formpatient experience survey
    Whether you will take part in the national patient survey. Voluntary and anonymous.
    On the formConsent to Share Health Info with other Health Providers involved in my care
    Whether other providers involved in your care may receive your health information.
    On the formConsent to share data with PHO
    Whether your data may be shared with the Primary Health Organisation the practice belongs to.
    On the formConsent to share my records on Indici SEHR
    Whether your records may be shared through indici’s shared electronic health record. Press the ⓘ next to it on the form for details.
    On the formConsent to use the … email to receive communication from practice
    Whether the practice may email you.

    Watch out

    • The consents are your choice. If you are not sure what one means, ask reception before answering.

  6. Step 6 · Smoking Status

    Smoking and vaping

    Choose one option for each.

    On the formNever smoked · Ex-smoker for more than 1 year · Ex-smoker for less than 1 year · Currently a smoker
    Never smoked · quit more than a year ago · quit less than a year ago · smoke now.
    On the formNever vaped · Currently vaping with nicotine · Currently vaping without nicotine · …
    Never vaped · vape with nicotine · vape without nicotine — plus options for having quit or trying to quit.

  7. Step 7 · Employment Details

    Work

    Choose your situation.

    On the formEmployed · Unemployed · Retired · School or preschool aged child · Student
    Working · not working · retired · school or preschool child · student.
    On the formCompany · Occupation
    If you are employed: your employer’s name, and your job — type it in English and choose from the list.
    On the formFind address in eSAM
    If you are employed this is required: your workplace address, found the same way as at step 4.

  8. Step 8 · Next of Kin

    Your next of kin

    Someone close to you we can contact.

    On the formFirst/Given Name · Last/Family Name · Cell Phone
    Their name and mobile number. Name and mobile are required.
    On the formRelationship
    Choose from the list, e.g. Husband, Wife, Partner, Mother, Father, Son, Daughter, Friend.
    On the formMark this as an emergency contact
    Tick if this person is your emergency contact.
    On the formSame address as patient
    Tick if they live with you.

  9. Step 9 · Identity Documents

    Upload your ID

    Documents are grouped under two tabs. The ones marked * are required, depending on your answers at step 2.

    On the formPrimary — Birth Certificate · Passport
    Press the document’s name, then choose the file.
    On the formSecondary — Driving License · Visa · Other
    Switch to this tab for your visa or driver licence.
    On the formJPG, PNG, PDF up to 5MB
    A clear photo or scan, with every corner visible.

    Watch out

    • After uploading a passport, scroll down below the picture and choose its expiry date. Until you do, “Next” stays grey — even though the status list already shows a tick.

  10. Step 10 · Practice Agreement

    Agree and sign

    Read the agreement, then sign with your finger or mouse.

    On the formRead More
    Opens the full agreement, including how the practice uses AI tools.
    On the formSignature · Clear Signature
    Draw your signature in the box. “Clear Signature” starts again.
    On the formSelf Signing
    Tick if you are the patient and signing for yourself.
    On the formAuthority
    Tick if you are signing for someone else — for example a parent signing for a child under 16 — and fill in your full name, relationship and phone.
    On the formI agree to all practice agreements
    Tick to agree.

    What you are agreeing to

    A summary to help you read the agreement. The English text on the form is the one that applies.

    • Newa Family Medical Centre will be your regular GP.
    • Your name, address and identification details will be on the practice’s, the PHO’s and the National Enrolment Service registers.
    • If you see another GP practice where you are not enrolled, you may be charged more.
    • You have read the Use of Health Information statement. Your information will be used to check your eligibility for publicly funded services, and may be compared with other government agencies only where the Privacy Act allows.
    • The practice takes part in a national patient experience survey. It is voluntary and anonymous, and you can opt out.
    • You will tell the practice if your contact details or eligibility change.
    • Staff may use AI tools to help with their work. Everything is reviewed by a person, AI is not used to make clinical decisions, and your health information is not shared with AI systems outside the practice without your consent. You can withdraw your consent at any time.
    • The signature you draw counts as your electronic signature under the Electronic Transactions Act 2002.

  11. Step 11 · Review & Submit

    Check and submit

    Everything you entered is shown on one page.

    On the formEdit
    Go back to a section and change it.
    On the formSubmit
    Send your enrolment to the clinic.

After you submit

  • Please allow 5 working days for your enrolment to be processed. We will let you know once it is confirmed.
  • You can book a casual appointment in the meantime. Casual fees apply until your enrolment is confirmed.
  • You don’t need to bring ID to your first appointment — we use the ID you uploaded.

Stuck?

Call reception or pop in, and we will help you complete the form.

Open the enrolment formCall reception for help

Back to enrolment