HealthSecure user registration form
Complete this form to apply for a digital certificate as an individual user.
ACC is acting on behalf of the New Zealand Health & Disability Sector Registration Authority (NZHSRA) to process digital certificate applications for ACC and the Ministry of Health.
What you need to fill out this form
- Your organisation’s contact details, including a named, main contact person.
- The user’s contact details.
- Know which applications/systems you’d like to access eg ACC, CareConnect, Special Authority, etc.
When you have all the relevant information, please allow around five minutes to enter it, as the form can’t be saved.
Need help?
If you need help to complete this form, please call NZHSRA.
Phone 0800 117 590
Your privacy
In the collection, use, disclosure, and storage of information, ACC will at all times comply with the obligations of the Privacy Act 2020, the Health Information Privacy Code 2020 and the Official Information Act 1982. For further details see ACC’s privacy policy.
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