Tel: (09) 477 2090 Email: reception@hzmedical.co.nz EDI: milenumc

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Find us at....

AUT Millennium

Rosedale, North Shore,
PHONE: (09) 477 2090
FAX: (09) 477 2091

Street Address

17 Antares Place, Rosedale,
Auckland, 0632

Postal Address

PO Box 302 145
North Harbour 0751

Electronic

EMAIL: reception@hzmedical.co.nz EDI: milenumc

All messages sent below are forwarded on to our Reception desk (reception@hzmedical.co.nz).
Allow at least 1 full working day cycle (24 -48 hours) for a response.

Contact Us via this Form

Contact Form - Covid and Script Pharmacy (#6)

Do not use this form for urgent medical queries or emergencies , call instead.

Message Topic

Details of message topic

First Name

Last Name

Mobile number (preferred) else Telephone number (with dialling code)

How much medication do you have on hand

None

1 to 2 days

3 to 4 days

5 to 6 days

1 week or more

2 weeks or more

1 month or more

How do I want to collect the prescription

Collection from Reception

Send to Pharmacy below (expect a TXT message when this occurs)

How urgently do I need the prescription

Urgent/Same day / Within 24 hours - Cost is: Enrolled= $40, Casual= $50, Valid CSC card= $29

Within 2 to 3 working days - Cost is: Enrolled= $30,.Casual= $45, Valid CSC card= $19

Fee payment and Terms & Conditions *

I will prepay the appropriate prescription fee to our bank account (Westpac 03-0162-0098557-000) or via telephone payment, to facilitate prescription handling. Exceptions are : you are coming in to collect, patient is under 14yrs and enrolled, you have current Southern Cross full GP cover or your account is in sufficient credit.

I have read and agree to the Terms and Conditions

I acknowledge I need to have settled any outstanding accounts for any request to be processed, as per our T&Cs.

Pharmacy name, chain and location

Date of Birth

Gender

NHI (if known)

Address

Details about myself - enrollment or memberships

I am a current Enrolled patient at HealthZone Medical

I am in the priority Group 2c (Medical/pharmacy frontline staff or Essential worker)

I am AUT Millennium staff (or associated business/organisation in the building

I am AUT Millennium member (pool, gym etc)

I am a family, household member or contact of the above (click all options above that apply)

I am enrolled/registered at another practice

I am not enrolled/registered at any practice

Enrolment interest

Yes, I am interested in enrolling with HealthZone Medical

No, I am fine for now, but thanks for asking

Reserve list (if we have spare vaccine towards end of a day we can call you in)

YES! put me on your reserve list also

Details of additional persons to be vaccinated - include name, date of birth, mobile, nhi (if known), address and email (if different) -one per line. Else enter None or N/A

Emergency Contact Details

Name

Relationship

Mobile Number

I confirm all the above details are correct

Yes

Any other information - optional

Your Message/More details here

CONTACT DETAILS

AUT Millennium Centre
17 Antares Place, Rosedale, 0632
Tel: (09) 477 2090
reception@hzmedical.co.nz
Fax: (09) 477 2091
EDI: milenumc

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