NEW ZEALAND HEALTH INFORMATION SERVICE

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National Health Index number (NHI)

Please enter the patient’s NHI number if known.

Leave this blank if the NHI number is not known. NZHIS staff will assign it, based on the patient information you provide.

• This is also known as the Healthcare User (HCU) number.

Family name (mandatory field)

The patient’s surname.

First given name (mandatory field)

The patient’s first given name.

Second given name

The patient’s second given name. Please provide this if available.

Third given name

The patient’s third given name. Please provide this if available.

Introduction Patient information