Please enter your details below and then click ‘Join the NZHPA’ at the bottom of the page. Once you have submitted your registration, we will be in touch shortly after to confirm your registration. First Name: Last Name: Email Address: Date of Birth (Optional): Street Address: Suburb: City/Town: Country: Post Code: Contact Number (Work): Contact Number (Home): Contact Number (Mobile): Current Work Status:StudentYoung Health ProfessionalMature Health ProfessionalRetired Health Professional Workplace / Place of Study: Field of Work: Mentorship Programme:Yes, I would like to get involved as a mentorYes, I would like to get involved as a menteeNo Additional Comments:
