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)

Hamilton Lake clinic Enrolment policy

  1. All enrolments will be done strictly In line with Te Whatu Ora guidelines.
  2. Patient cannot enrol to our VLCA sites ( 226 Grey street , Hamilton East and Westend Clinic , Dinsdale ) by physically presenting them self to our NON VLCS sites ( Pembroke street and Rototuna clinic )
  3. Patient can register to any of our clinics via our online forms
  4. Once registered in any of our clinics , patient wall be able to access health services at any of our sites and will be charged a co- payment based on the clinic they are registered in. This is done to make sure patients are able to access services at one of our clinics in a timely fashion.

What is VLCA clinic– This very low access clinic which has low co-payments ( ref to fees structure on web site)

Our VLCA Clinics

  • Hamilton Lake clinic Grey Street – 226 Grey street, Hamilton — Co-payment $19.50
  • Hamilton Lake Clinic , Westend – 38 Tuhikaramia Road,Dinsdale- Co-payment 19.50

What Is Non VLCA Clinic- These are clinic with higher co-payment 

Our non VLCA Clinics

  • Hamilton Lake clinic , 31 Pembroke street, Hamilton- co-payment $37.50
  • Hamilton Lake Clinic, Rototuna –152 Horsham downs Road, Rototuna – co-payment $45
enrollment-form

Blank Enrolment Form

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