Practice Evaluation of Locum

To help improve the service we provide, please rate your experience of your placement below.

If you prefer to print out a form please download from here and  fax/email your completed form to:
Fax: 04 472 0904
Email: enquiries@nzlocums.com

Download Form

  • Date Format: DD slash MM slash YYYY
  • Date Format: MM slash DD slash YYYY
  • 6. How would you rate the locum on the following:

    The Privacy Act (1993) requires that I ask you the following questions.

  • Date Format: DD slash MM slash YYYY
© NZRGPN 2020 | Site by Creative Marketing | Privacy Policy