First Name: Last Name: Sex: Either Male Female Practice Name: City / Town: Any Akaroa Alexandra Amberley Arrowtown Ashburton Auckland Balclutha Blenheim Bulls Cambridge Carterton Christchurch Clevedon Clive Coromandel Cromwell Dannevirke Darfield Dargaville Drury Dunedin Edgecumbe Featherston Feilding Foxton Geraldine Gisborne Gore Great Barrier Island Greymouth Greytown Hamilton Hastings Havelock North Hawera Helensville Hokitika Huntly Inglewood Invercargill Kaeo Kaiapoi Kaikohe Kaikoura Kaitaia Katikati Kawakawa Kawerau Kerikeri Kumeu Leeston Levin Lincoln Lower Hutt Lyttelton Manaia Mangawhai Mangonui Manukau Mapua Marton Masterton Matamata Maungaturoto Methven Milton Morrinsville Mosgiel Motueka Mount Maunganui Napier Nelson New Plymouth Ngaruawahia Ngatea North Shore City Oakura Oamaru Ohakune Ohope Okaihau Omokoroa Opotiki Opunake Orewa Otaki Otorohanga Owaka Oxford Paeroa Pahiatua Paihia Palmerston Palmerston North Papakura Papamoa Paraparaumu Patea Picton Porirua Pukekohe Putaruru Queenstown Raglan Ranfurly Rangiora Rawene Red Beach Riverton Rolleston Rotorua Roxburgh Ruakaka Ruawai Russell Stratford Taihape Tairua Takaka Tapanui Taumarunui Taupo Tauranga Te Anau Te Aroha Te Awamutu Te Kauwhata Te Kuiti Te Puke Temuka Thames Timaru Tokoroa Tuakau Turangi Twizel Upper Hutt Waiheke Island Waihi Waihi Beach Waikanae Waimate Waimauku Waipawa Waipu Waipukurau Wairoa Waitakere Waitara Waiuku Wakefield Wanaka Wanganui Warkworth Waverley Wellington Wellsford Westport Whakatane Whangamata Whangaparaoa Whangarei Whitianga Winton Suburb: Interest: Any Accident & Medical Accident & Medical Practitioner Acupuncture Addictions Allergy Appearance Medicine Arthritis & Rheumatology Aviation Medicine Congestive Heart Failure Dermatology Diabetes Dietary Emergency Medicine Family Planning Family Planning & Reproductive Health Gastroenterology General Medicine Physician General Practitioner General Surgeon Geriatrician Geriatrics Homeopathic / Naturopathic Hypertension / Heart Conditions Immunisation - General Immunisation - Travel Medicine Musculoskeletal Musculoskeletal Medicine Obstetrics Occupational Medicine Otolaryngology Paediatrician Paediatrics Palliative Medicine Psychiatrist Psychiatry Public Health Medicine Rehabilitation Respiratory Sexual Health Medicine Sports Medicine Womens Health / Gynaecology

*Content for this resource is drawn from the Medidata database, owned by Pharmacy Today publishers, UBM Medica. Some GPs may have chosen not to allow their details to be made available.

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