Surname Given Name Title (Mr, Mrs, Miss, Master) DOB Gender MaleFemaleGender DiverseOther Enrolment Eligibility I am eligible to Enrol in Compass PHO. I choose to use this practice as my regular and on-going provider of general practice/GP/first level primary health care services. I am eligible and entitled to Enrol because I am residing permanently in New Zealand and I am a New Zealand Citizen. Please sign below in the space Δ