New Zealand Gazette – 2002 – No. 40

Page 1165

✨ Maternity Practitioner Certification

24 APRIL NEW ZEALAND GAZETTE 1165

CERTIFICATION

I certify that the above information is true and correct. I am aware the information will be used in a manner consistent with the Health Information Privacy Code 1994.
I agree that I will comply with the terms and conditions of the Section 88 Maternity Notice.

Signature of Practitioner
	Date

Practitioner to send completed form to the Ministry of Health, Agreement Administration, Private Bag 1942, Dunedin

| MINISTRY OF HEALTH TO COMPLETE AND RETURN FORM TO PRACTITIONER |
| PAYMENT AGREEMENT □□ □□ □□ □□ □□ - □□ |

As from □□ / □□ / □□ □□ □□ the practitioner named above is deemed to be an Authorised Practitioner under the Section 88 Maternity Notice.

VUW Te Waharoa — NZ Gazette 2002, No 40

Gazette.govt.nz — NZ Gazette 2002, No 40

The Executive Wing of Parliament (depicted) is universally known as The Beehive. It was completed in 1977 and remains the primary office for the elected Government of the day.

✨ LLM interpretation of page content

🏥 Application Form for Maternity Claim Authorisation (continued from previous page)

Domain🏥 Health & Social Welfare
KeywordsMaternity, Claim Form, Authorisation, Practitioner Details, Midwife

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