Aviation Medical Form

Monday - Friday: 8.30am - 6pm

You may contact us by phone from 8.30am until 6pm.

Saturday: Doctor on duty

Sunday: Doctor on duty

Clinics are held at the duty practice between 9am – 12pm and 3pm – 6pm.

Outside of these hours, the after hours service can be contacted on 443 0710.

Aviation Medical Booking Form

Submit your details using the form below, and one of our team members will be in touch to confirm your booking.

Full name(Required)

DOB(Required)

DD slash MM slash YYYY

NZ Address(Required)

Street Address City ZIP / Postal Code

Cell phone number(Required)

Email(Required)

Class of medical required(Required)

Class 1 Commercial

Class 2 Private

Class 2 DL9 only required

Class 1 And 2

New medical or renewal?:(Required)

New

Renewal

CAA Client ID(Required)

Date of last Medical(Required)

MM slash DD slash YYYY

Instrument flight rules?(Required)

Yes

Any Dr preference?:(Required)

Dr Charlotte Kevern

No preference

Wanaka Medical is a rural general practice providing high quality medical care including accident and emergency services, to the Wanaka Community.

Address: 23 Cardrona Valley Road, Wanaka, New Zealand, 9305 (get directions)

Phone: 03 443 0710

Monday – Friday: 8.30am to 6pm
Weekends: 9am – 12pm / 3pm – 6pm
Public Holidays: 9am – 12pm / 1pm – 6pm