Enrolment Form

Harewood Medical Centre Enrolment Form

Fill out our online form below or download the PDF version at the bottom of the page. 

Your enrolment will be finalised once you have signed a form, next time you visit the practice.

Make sure you live in the enrolment zone before completing the form

If you prefer you can download the PDF version here. 
Send your signed enrolment form to us at 171 Harewood Road, Christchurch 8053 or drop it in next time you visit the practice.
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