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New Zealand Fire Service

MEDICAL SCREENING FORM

Reception

  • Appointment: 30 mins Nurse + 15 mins Drs
  • Please ask patient if they’re asthmatic. If yes, advise follow up appt maybe required to carry out a spirometry test. But we’ll have to seek approval from NZ Head quarter first to find out whether it’s necessary to do this.

Nurses

  • Check if patient had completed Section A, signed & dated.
  • Examine patient to complete Section B & C.

Doctors

  • Dr to complete Section E.

* Any tests required, please contact NZ National Headquarters in Wellington. See cover page for contact details.

DO NOT CARRY OUT ANY TESTS  unless approved or if patient is happy to pay. DOR will not be giving patient refund/reimbursement if s/he wishes to perform any tests prior to approval.

If any history of asthma, and approved by NZ Fire Headquarters to do a Peak flow/Spirometry –> Please see Selena or Vivian. They’ll need to contact patient to come in for a 60mins Spirometry appt.

Administrator

EM/MF: $150  (time only)
Others: TBA, only when approved

Email invoice & forms to: volly.applications@fireandemergency.nz

Contact

Jane Yates 04-496 3716 or Lynsey Nault 04- 474 4815
Accounts Payable Enquiry: 04- 496 666

Our Services

Opening Hours

Monday to Friday: 8am to 6pm
Saturday, Sunday and Public Holidays: Closed

Contact Details

Phone 03 348 8989

Address
183 Riccarton Road, Riccarton Christchurch 8041
Find us on Google Maps →

Remedy Pharmacy Riccarton

107 Wainui Street, Riccarton
Phone: 03 925 9963
Visit website →

After Hours

Face to Face Appointments
24 Hour Surgery (no appointment needed)
Address: 401 Madras Street
Phone: 03 365 7777

Telehealth GP Appointments
Practice Plus
Click on Practice Plus Link

Telehealth Emergency Doctor Appointments
Emergency Consult
Click on Emergency Consult Link

When we are closed, our phones are diverted to Whakarongarau (formerly Homecare Medical), a nurse operated answering service. They can offer phone advice.  More information about their service is available on this link.

Click on After Hours Link for more information

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