Cervical Screening (Auckland and Waitemata Districts)
For eligible Auckland and Waitemata residents
Claim date
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Day
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Date
Eligible for publicly funded health services
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Yes
Patient is eligible for New Zealand public health funding and resides in OR seen in a clinic within the following district:
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Auckland
Waitemata
To be eligible for free cervical screening, women must meet all of the below criteria.
Aged 25 to 69 years
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Yes
Eligibility and funding:
Routine Screening for Maori or Pacific (age 25-69) $49.75
Routine Screening for Community Services Card Holder (age 25-69) $40.25
Un-Screened or Under-Screened Five Years (Age 30+) $57.50
Un-Screened or Under-Screened Three Years Immune Deficient (Age 30+) $57.50
Un-Screened or Under-Screened - aged 70-74 years who have not had 2 consecutive normal cytology results between 62-69 yrs, or 'HPV not detected' results in 5 years prior to age 70) $57.50
Follow-Up Screening (All patients) $57.50
Of Māori and/or Pacific ethnicity
Yes
Due for a cervical screen
Yes
domiciled in Auckland or Waitemata DHB area
Yes
Date of service
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Patient NHI
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Date of birth
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Year
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Patient name
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First Name
Last Name
Ethnicity
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NZ European
Maori
Pacific
Asian
Other
Home address
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Provider Organisation Name:
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HPI Facility ID
To confirm correct provider
Provider contact email:
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For emailed receipt confirmation
Submit Referral and Claim
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