Medical Certificate

1
This phone consultation is for off-work medical certificates only *

(for people who have had mild illness and require a medical certificate for their workplace)

*Other medical certificates such as for driver licencing, WINZ or ACC require a physical appointment with your usual clinician

We provide maximum of 5 days for off-work medical certificates via phone consultation. If you require a longer time off work, you will need to be physically examined by your usual clinician.
2
This is a phone consult. If you are seriously unwell OR feel you need to see a doctor in person DO NOT PROCEED and please contact a doctor directly

If this is a medical emergency please dial 111 for an ambulance
3
Do you live in New Zealand?Please note that we will not supply medical certificates to anyone living outside New Zealand and your request will not be processed in this case
YESNO
4
This service is not available outside of New Zealand
5
I confirm that I am not seriously unwell and just need a medical certificate* This field is required.
YESNO
6
This service is for routine medical certificates only

If you are feeling unwell and need to be assessed by a clinician, please contact us directly

https://www.wecarehealth.co.nz/

Or, contact your usual provider if you are not enrolled with WeCare

If this is a medical emergency please dial 111 for an ambulance
7
I am experiencing the following symptoms* This field is required.please tick any which apply to you
Chest pain/tightness
Shortness of breath / difficulty breathing
Difficulty swallowing
One-sided weakness/numbness
Slurred speech
None of the above
8
We are unable to proceed as your symptoms could be due to a serious medical condition

You need to be assessed in-person by a clinician, please contact us directly www.wecarehealth.co.nz/ or speak with your regular healthcare provider

If this is a medical emergency please dial 111 for an ambulance
9
Name* This field is required.
First Name
Last Name
10
Date of Birth* This field is required.
dd/mm/yyyy
11
Email* This field is required.Your medical certificate will be sent to the email address provided
example@example.com
12
Best Contact Phone Number* This field is required.Our team will contact you on this number
Prefix (e.g 03 or 021)
Phone Number
13
I need a medical certificate for the following condition* This field is required.
Common cold or Flu
Gastro/ stomach upset
Period pain
Migraine (I have previously experienced and be diagnosed with migraines)
Back pain which is not a new injury
Mental health
Other
14
You selected 'other' - what is the condition you require a medical certificate for?please type below
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Please describe your symptoms:* This field is required.
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Normal
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Ok
Ok
16
Medical Certificate date required from * This field is required.First day off work (maximum of 5 days total)
Date
Day
Month
Year
17
Medical Certificate date required to* This field is required.Date returning to work (maximum of 5 days total)
Date
Day
Month
Year
18
We can only provide a Medical Certificate for a maximum of 5 days

If you think you require a longer time off work you will need to see a clinician face-to-face, please contact us directly https://www.wecarehealth.co.nz/
19
I agree that if my symptoms worsen or I have any concerns around my condition, I will seek medical attention* This field is required.
YESNO
20
For your safety we cannot proceed, as you have not agreed to seek medical attention if your condition worsens.

If this is a medical emergency please dial 111 for an ambulance
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Is there anything else you wish to let us know?(e.g. I want to discuss my symptoms with a doctor)
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Normal
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Ok
Ok
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Please select your preferred date to schedule a phone callWe aim to call you within 24 hours of you submitting your request. Our service is available Monday - Friday, (EXCLUDING NZ public holiday dates). If you select a public holiday date, you will be called on the next working day. Please note that we cannot guarantee a specific time for the call. To ensure you don't miss our call, please keep your phone nearby and be prepared to answer at any time during our operating hours.
Date
Day
Month
Year
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STRIPE SECURE PAYMENT* This field is required.STRIPE secure payment
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What next?

Once you have had a phone consultation with our clinical care team, your medical certificate will be sent directly to you by email.

Please keep your phone nearby for your phone consultation call.
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