Halswell health 2025

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  1. Click ‘Get Form’ to open the halswell health Patient Enrolment Form in the editor.
  2. Begin by filling out the 'Patient Information' section. Enter your surname, first name(s), preferred name, and date of birth. Select your title (Mr/Mrs/Ms/Miss/Mast) and provide your maiden name if applicable.
  3. Next, indicate your gender and occupation. If you have an NHI number, please include it along with your employer's details.
  4. In the 'Contact Details' section, provide both physical and postal addresses. Ensure that you enter a valid street address instead of a PO Box.
  5. Complete the 'Next of Kin' and 'Emergency Contact Details' sections with relevant names and contact numbers.
  6. Fill out the smoking status and citizenship questions accurately. If applicable, ensure to show proof of eligibility as required.
  7. Finally, review all information for accuracy before signing and dating the form at the bottom.

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Contact us
Our phones are answered Monday to Friday 8.00am till 5.00pm. Outside of this time for acute or urgent (but non-emergency) care please contact the 24 Hour Surgery on 365 7777. For after hours care visit the 24 Hour Surgery which is located at 401 Madras Street or in an emergency call 111.
The Homestead The building has a significant history with the first part built in 1854 by Sefton Moorhouse, the man whose name was given to Moorhouse Ave in Christchurch and the Moorhouse Range and Mt Sefton in the Southern Alps. An addition to the homestead was built in 1874.
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