PHO Enrolment Forms - Ngati Kahu Hauora - ngatikahuhauora co 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your last name, first names, and preferred first name in the designated fields. Ensure accuracy for proper identification.
3. Fill in your gender, address, suburb/city, post code, and contact numbers. This information is crucial for communication and service provision.
4. Provide your date of birth and country of birth. Confirm your residency status by selecting 'Yes' or 'No' for NZ Resident.
5. Complete the section regarding community service card number and war pensions number if applicable. Indicate expiry dates where required.
6. List your next of kin's full name, address, relationship, and phone number for emergency contacts.
7. Tick the appropriate boxes under the ethnicity group section to reflect your identity accurately.
8. In the authorisation section, circle 'Yes' or 'No' to authorize Ngati Kahu Hauora to obtain your previous medical records. Sign and date the form at the bottom.

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