Practice Name   :   West Harbour Medical Centre

Address             :   86 Oreil Avenue, West Harbour, Auckland 0618

Phone                :   09 416 8315

 

EDI                    :   whmc

                           :    Dr Hemant Kheterpal ;  Reg No: 70471

                                         

 

 

 

***Please ensure that you have attached your ID evidence to this form. Failure to do so will result in incomplete enrollment and potential delays***

 

***Once you have submitted your form and the required documents, the enrollment process would typically take around two (2) weeks to complete. We will email you once this process is finished and invite you to schedule your initial consultation with us***

 

***Please note the charges for First consult are different than the routine charges. Check the website for full fee details ***

 

 

My declaration of entitlement and eligibility

(for public funding)

Enrollment

I understand that by enrolling with this practice I will be enrolled with the PHO (Primary Health Organisation) - Comprehensive Care. 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 in the accompanying PHO information booklet. 

I agree to inform the practice of any change in my eligibility.