Apply Online

Please complete the form below to enroll with Hamilton Lake Clinic. Please make sure you fill in all required (*) fields

*To verify your identity, we require you to submit a copy of government-issued photo ID and proof of eligibility for public health funding. We may request additional documents and information where necessary depending on individual circumstances.

 

Acceptable types of photo ID:
  • New Zealand Passport
  • New Zealand Driver’s License
Acceptable types of proof of eligibility:
  • Birth Certificate
  • New Zealand Visa (must be more than 2 years/resident visa)
enrollment-form

Blank Enrolment Form

Please click the link below to download the blank Hamilton Lake Clinic Registration/Enrolment form for printing.

Enrolment Form