New Patient Registration Form

Allow patients to fill out paperwork online using a secure new patient registration form.

Patients can register on their phone or PC before coming in for a visit, or use an iPad at your practice to reduce wait times as well as paperwork. Gather information about community services eligibility, emergency contacts and other medical details. Also, get consent to contact the patient via email or SMS to send appointment reminders and other updates.

All of the information submitted is handled securely on our New Zealand-based servers in line with the New Zealand Privacy Principles. If needed, you can export responses into your practice management system, providing you with a streamlined registration process from start to finish.

Use the prepared template below, or create a customised form tailored to your practice that meets all of your legal and ethical requirements.