Admission form & information

Welcome to our admission process.

To ensure a smooth experience, please complete and return the Admission Form at least 4 weeks before admission. The file may be downloaded, printed and filled out by hand. Alternatively depending on your software, it may be directly typed into. Handwritten signatures with dates are legally acceptable if scanned or photographed and emailed.

Incomplete, unsigned, or improperly signed forms may delay admission.. Reading through the questions and preparing information first may assist greatly.

Who must sign the form:

  • The patient (if 18 or over).
  • A parent/guardian (if patient is under 18).
  • The designated power of attorney (include supporting documentation).

Finding and using the admission form:

  • Consider using a tablet or computer with a reasonably sized screen.
  • Click on the image/link below to view/download the form.
  • You may be able to type directly into the form and save your work.
  • Alternatively print and complete it by hand using blue or black ink.

 

 Complete your admission form

Bidwill admission form thumb

Completeing your form:

  • Review all questions first and gather required information.
  • Fill out all fields as insrtructed.
  • Print at least pages 2 and 5 and sign by hand (a digital ID may be possible instead, depending on your software).
  • If emailing, prepare photo or scanned copies of any handwriten signatures or pages.

Returning your form:

  • Return your completed form, using one of the following options:

Email files (preferred):

  • Attach your saved computer admission file.
  • Include any photos/scans of handwritten pages.
  • Send to This email address is being protected from spambots. You need JavaScript enabled to view it..

Post printed form:

Bidwill Trust Hospital
P.O. Box 508
Timaru 7940

Deliver or courier printed form:

Bidwill Trust Hospital
53 Elizabeth Street
Timaru 7910

Need Assistance?

Our team is happy to help with completing or submitting your form:

Contact us at:
(03) 687-1230 or This email address is being protected from spambots. You need JavaScript enabled to view it.