POAC Infusion Centre Registration

Register as a POAC Infusion Provider

This form allows your Auckland region organisation to register as an approved provider for the following POAC-funded infusion services, enabling you to receive referrals from external clinicians (midwives/LMCs, hospital teams, GP clinics) for Ferinject and Zoledronate infusions.

Note: You do not need to register as an infusion centre to provide these services to your own existing patients. This registration specifically sets your clinic up to accept referred patients from other providers.

By submitting this form, your organisation agrees to the POAC terms and conditions below.

For more information on each service, including eligibility criteria and clinical guidance, please visit:
www.poac.co.nz/ferinject
www.poac.co.nz/zoledronate

Questions? Please contact: Deanna Williams, POAC Service Manager
E: deannaw@easthealth.co.nz

Select the services the provider will accept referrals for and confirm that clinical staff are suitably credentialed

By submitting this form, the clinic agrees to the following terms (all required):

Provider is located in which District?

Organisation Name

Contact Person

First NameLast Name

Contact Person Email

Physical Address

Street Address

Suburb

Phone Number

Please enter a valid phone number.Format: (00) 000 0000.

Email address for receipt of referrals