On this page you’ll find forms for patients of Waipuna Hospice.
Please note, all information collected remains strictly confidential.
You can complete each form online, download a copy to print at home, or if you would prefer to collect a physical copy of ny of these forms, please contact us.
Patient Form: Your Current State of Health
This form is to collect information about your current state of health and how you’re feeling at the moment.
Complete the form online:
Download PDF version:
Patient Information Form
This form is to collect your contact information and essential details.