Clinic Hours: Monday - Friday - 8am - 5pm

Our Clinic Forms

Before your visit please fill in the relevant form for your visit

Child Patient Registration Form

These details are for your child:
Please type your full name.
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Invalid email address.
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Please tell us how big is your company.
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Please specify your position in the company
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eg Penicillin, Sulphas
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eg Do you bruise easily or is there a family history of such problems?
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eg drops, sprays, medicines, pills, injections etc
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If it is tonsillitis or otitis media (glue ear) please submit this form and then fill out the additional questionnaire
   
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Where to find us?

Address
Gillies Hospital and Clinic,
160 Gillies Ave, Epsom, Auckland
Phone Number
(09) 631 1965
email: office@ear.co.nz