Request to Enrol

BURWOOD HEALTH IS CURRENTLY ACCEPTING NEW PATIENTS

There are many benefits to enrolling with a General Practice.  Enrolling is free.

The practice is unable to guarantee which provider you will be assigned during the enrolment process. Currently, we are unable to accept any requests for a preferred provider, except for requesting either a male or female provider.

At certain times of the year, our team will not be processing new enrolment applications. 

These dates are:

  • 15th December – 15th January
  • The week before AND after Easter

As an enrolled patient at Burwood Health you will be able to access a range of services, including:

  • GP and nurse consultations
  • Free consults for children under 14 years
  • Repeat prescription requests
  • Access to online health portal (My Indici Portal)
  • Health Improvement Practitioner and Health Coach services
  • Vaccinations and health screening reminders
  • and so much more

More information about enrolling with a GP and the practice’s Health Information and Privacy Statement can be found below:
Enrolling With A General Practice
Health Information Privacy Statement

CRITERIA FOR ENROLMENT:

To enroll as a new patient at Burwood Health you are required to meet the following criteria:

  • New Zealand Citizen
  • Permanent New Zealand Resident
  • Work Visa Holder

WHO IS CURRENTLY ENROLLING:

  • Dr Intan Md Tahir
  • Dr Vidya Yugaraja
  • Sarah Clark (Nurse Practitioner)

ENROLLMENT PROCESS:

To begin the enrollment process, please contact our reception team on 03 383 0219.  You will be offered an appointment time to meet with our reception team to complete the Pegasus Enrollment forms.

WHAT TO BRING TO YOUR ENROLLMENT APPOINTMENT:

  • Proof identity (Drivers License or Passport)
  • Proof of Work Visa (if applicable)
  • Utility bill with your current home address

It is a requirement of the practice to view all identification to complete the enrollment process.

Once you have completed the enrollment process with our reception team, they will organise your first appointment at the practice.
** Please note that your enrollment appointment and first consultation with your GP cannot be on the same day **

YOUR FIRST APPOINTMENT AT BURWOOD HEALTH:

During your first appointment with Burwood Health, you will spend time with both a Practice Nurse or our Health Caoch, and your enrolled Doctor.
We like to spend the time with you to ensure you receive the best care we can deliver.

WHAT TO EXPECT ON YOUR FIRST VISIT:
  • The practice’s Health Coach performs basic checks on your ‘vitals’ – blood pressure, pulse, height, blood sugar levels (if required)
  • Time for you to discuss your health history and your medical needs with our team
FEES FOR YOUR FIRST APPOINTMENT

The cost of your initial consultation is more than a standard consultation fee, however, in this appointment our clinical team spend time reviewing your medical history and ensuring we have all your information correct.

It is the policy of the practice that your initial consultation must be prepaid.
Community Service Card (CSC) Holders                                    $45
Non-Community Service Card Holders                                      $100

FURTHER APPOINTMENTS AT BURWOOD HEALTH:

Once you have completed your initial consultation with our clinical team, you will be able to book further appointments via your My Indici Portal (speak to our team after your initial appointment about joining My Indici Portal), or by contacting our receptionists.

To find out more about the fees for future consultations, please visit our Fees Page

Request to Join Burwood Health

We’re so pleased you’re interested in becoming a patient at Burwood Health!

Please note that this is not an enrolment form. Filling in this request form is the first step, and it lets us check whether we’re able to accept you as a patient under our enrolment criteria.

To be eligible to enrol with us, you need to:

  • Live within our local catchment area (you may be asked to provide proof of address).

Submitting this request doesn’t guarantee we can enrol you, but our team will review your details carefully.
You’ll hear back from us via email within 10 working days to let you know the outcome of your request.

 Your Privacy Matters to Us

The details you share with us will only be used to assess whether we can enrol you at Burwood Health. We take your privacy seriously and keep all information secure in line with the Privacy Act 2020 and the Health Information Privacy Code 2020.

Your details won’t be shared with anyone else unless required by law. By sending us this form, you’re agreeing to us using this information only for this enrolment request.

Request to enrol at Burwood Health
Your Name
Your Name
First Name
Middle Name
Last Name
Address
Address
City
Region
Postcode
NZ Citizen
Permanent Resident Visa
Work Visa
CONSENT – I am aware that the information provided above will be used to determine my eligiblity to enrol at Burwood Health
CONSENT – I am aware that Burwood Health has specific criteria for enrolment and if my details do not meet these I will be not be offered enrolment
CONSENT – I am aware that if I am offered enrolment at Burwood Health that I will need to complete the enrolment form within 4 weeks of receiving
CONSENT – I am aware that this is not an enrolment form and that I will not be enrolled at Burwood Health upon completion of this form