POAC Infusion Centre Registration

POAC Infusion Centre Registration

For provision of services within the Auckland Region
This form can be used to register your Auckland-based organisation to receive referrals for POAC-funded IV Iron and Aclasta Infusions.

By submitting this form the provider agrees to follow POAC terms and conditions of use, including confirming suitably trained and qualified clinical staff available promptly to receive referrals, contact referred patients, and deliver services in a safe clinical environment.

For more information on specific services, please visit:

www.poac.co.nz/ferinject

www.poac.co.nz/zoledronate

If you have any questions, please contact:
Deanna Williams
POAC Service Manager
📧 deannaw@easthealth.co.nz
Select the services the provider will accept referrals for and confirm that clinical staff are suitably credentialed*

Ferinject IV Iron InfusionAclasta Infusion (Counties Manukau only)
Provider is located in which District?*

AucklandCounties ManukauWaitemata
Contact Person*

First NameLast Name
Contact Person Email*
Physical Address*

Street Address

Suburb

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email address to receive referrals*
Should be Empty: