Prescription Confirmation

All requests 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 Form - Secure Online Payment (Polipay) for Script Form (#6) (#12)

Secure Online Payment (Polipay)

Use this form to prepay securely online via Polipay direct from your bank account, to facilitate prescription handling.

See supported banks

Else prepay the appropriate prescription fee to our bank account (Westpac 03-0162-0098557-000) or via telephone payment (call or email), to facilitate prescription handling.

First Name

Last Name

Mobile number (preferred) else Telephone number

Prescription - Recipient enrolment and When Needed

$40 Urgent (24 hours) - for enrolled patient

$30 Standard (2 working days) - for enrolled patient

$29 Urgent (24 hours) - for enrolled patient with a valid CSC card

$19 Standard (2 working days) - for enrolled patient with a valid CSC card

$55 Urgent (24 hours) - for casual/visitor/unenrolled patient

$45 Standard (2 working days) - for casual/visitor/unenrolled patient

Fee $NZD

Thank you for prescription request. To complete your prepayment, please complete the from below.

Secure Online Payment (Polipay)

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