Please ensure you have read the previous page and fully understand the testing requirements for your individual situation. Village Health takes no responsibility for extra costs incurred as a result of incorrect information being supplied.

Please note we are a medical centre and our opening hours are Monday to Friday 8-5pm (open until 4pm on Friday). Forms sent to us outside of these hours will not be processed until the next business day. 

Contact Us

As written on your passport
Your best contact phone number

Travel details

MM slash DD slash YYYY
Date of departure from New Zealand
Time of departing flight
Your final destination
Max. file size: 256 MB.

Current COVID risk details

COVID Vaccination status(Required)
Have you been infected with COVID 19 in the last three months?(Required)
Have you travelled outside of New Zealand, including Australia within the last 14 days?(Required)
Have you had close contact with any person within an MIQ (Managed Isolation Quarantine) or border control within the last 14 days?(Required)
Have you had contact or been in a location with a confirmed or probable case of COVID within the last 14 days?(Required)
Have you had any of the following symptoms within the last 14 days: fever (greater than 38 degrees celcius), runny nose, sore throat, loss of smell, cough?(Required)