appointments

Use this form to request a weekday appointment at least 2 working days from now (selected medical centres only). This service is available on working days only. For urgent requests please call your medical centre directly. In an emergency dial 111. Please follow guidelines for input on the right of the screen. * = required field

First name (*)

Please enter your first name

Last name (*)

Please enter your last name

Birth date (*)

Please enter your birth date: DD/MM/YYYY

Please use this format: DD/MM/YYYY

Phone (*)

Invalid input - use numbers only, no gaps, eg 091234567

A DAYTIME number we can call you on.

Cell phone

Invalid input - use numbers only, no gaps

Please add your cellphone number if you have one.

Email (*)

Invalid Input

My medical centre (*)

Davies CornerNew Lynn St Andrews Silverstream Ti Rakau Rototuna The Palms Whakatane

Please select your medical centre.

My GP

Invalid Input

Please enter the name of your usual GP, or leave blank if you don't mind which doctor you see.

Appointment date (*)

Please choose a date 2 working days or more from now

Appointments may ONLY be requested 2 WORKING DAYS AND MORE from TODAY. For more urgent requests please call the medical centre directly.

Alternative dates

Invalid Input

In case we cannot meet your first choice, please give us alternative appointment dates

Time (*)

Please select a time.

Please select your preferred time of day. To select more than one, press 'Ctrl' and click on both.

My appointment is for

Invalid Input

Please select one from the drop down list

Notes

Invalid Input

Please type the characters you see here.

Invalid Input

be well

with radius medical group practices

Appointment booker