• Enrolment Form

  • Otara Family and Christian Health Centre

    Address: 5/120 East Tamaki Road, Otara

    Phone: 09 274 6654

    Fax: 09 274 6694

    Email: reception@otarafamily.health.nz

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  • My declaration of entitlement and eligibility (for public funding)
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  • Enrollment I understand that by enrolling with this practice I will be enrolled with the PHO -Primary Health Organisation (PHO). My name, address and other identification details will be included on both the practice and PHO enrolment registers. I understand that if I visit another provider where I am not enrolled, I may be charged a higher fee.  I have been given information about the benefits and implications of enrolment with the PHO and their contact details.  I have read and I agree with the Health Information Privacy statement (below).  I agree to inform the practice of any change in my eligibility. 

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