Interested in joining

If you'd like more information about joining Southern Cross, complete this short form and we'll get back to you within 2 business days.

* indicates a required field

First name *

Last name *

Email *

Daytime number *

Are you entitled to publicly funded healthcare services in New Zealand? *

Yes

To be eligible you must be a NZ citizen or resident, resident visa holder or otherwise entitled as determined by the Ministry of Health.

Does your employer offer Southern Cross health insurance? *

Yes

Unsure

Your employer's company name

Where is your work location? Please specify town/city AND suburb where you are based.

Would you prefer for us to call or email you? *

Email Email Call

Privacy

This form collects personal information for the purpose of contacting you via email or telephone to discuss your enquiry. The information is collected and held by Southern Cross Medical Care Society, Level 1, Te Kupenga, 155 Fanshawe Street, Auckland City 1010. You have a right to access and request correction of this information in accordance with the Privacy Act 2020.

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