Resources for patient enrolment

Editable forms for Patient Enrolment Pack 

WellSouth has a number of editable resources for you to include in the practice patient enrolment pack. It is recommended that all the documentation be placed in a folder and given to the patient to read, compete and return with ID when enrolling at the practice. 

Patient Enrolment Form

Patient Enrolment Form with merge fields 

Patient Share Information Consent Form

Patient Medical Questionnaire

Enrolment Pack Checklist

Patient Welcome Letter (designed to be an outbox document to email to patient)

Eligibility Check Sheet

Health-Information-Privacy-Statement

Health Act 1956 | New Zealand Legislation

www.privacy.org.nz

Enrolment brochure

Click on the below image to access the brochure for details about the PHO. Please contact WellSouth to order copies of this brochure.