Digital Enrolment Forms

For a seamless enrolment experience

Meets Ministry of Health NZ requirements

Digital connectivity has transformed everything we do, providing us access to almost anything at anytime and anywhere. We benefit from instant information exchange, data insights, task automation and more.

Going digital with your enrolment forms will not only increase the productivity of your medical practice but will provide your patients the online experience they are accustomed to.

Augment your practice enrolment process with Konnect NET’s digital enrolment solution and benefit from reduced paperwork and admin hassle, improved enrolment numbers, and provide a patient experience like no other.

Reduce paperwork

Free up your time and increase your productivity by reducing your paperwork and admin hassle. Reduce printing, scanning, re-keying and having to interpret ambiguous handwriting.

Improve enrolment numbers

Patients will have the option to easily enrol online, anywhere and anytime. Our reminder feature helps them follow through.

Enhance the patient experience

Demonstrate your focus on customer care before they even register. Create a seamless digital experience from your website through to patient enrolment.

Key features

Smart Form Logic

Real-time form field validation for information accuracy and a quick and easy patient enrolment experience.

Electronic Signature

Patients can sketch their signature onscreen with our fully auditable e-signature feature.

Data Insights

See behavioural statistics such as conversion rates, frequency, completion duration and more.


Personalise the enrolment form with your logo and primary brand colours.


Patients can complete your digital enrolment form on computer, phone or tablet.

Information Security

Patient information is protected with multi-layered security, including data encryption.

Information Security

Our digital enrolment forms are protected with multiple layers of security

Google reCAPTCHA

reCAPTCHA protects your site from spam and abuse. It uses advanced risk analysis techniques to tell humans and bots apart.

Data Encryption

SSL certificate at browser level ensures data from the browser is encrypted for privacy and integrity.

Data Retention Policy

We have a Data Retention Policy to remove data from our systems when it is no longer required.

Virus Scanning

Enrolments are scanned with in-built antivirus software to detect any infected files and prevent them from reaching your network.

Role-based access control

Role-based access control (RBAC) restricts data access based on a person’s role within an organisation.

Audit Logs

Logging user actions helps reconstruct events, detect intrusions, and analyse problems such as poor performance or unexpected system behavior to help reinforce security.

Security standards

We take security of information very seriously. Konnect NET undergoes annual security audits run by government approved independent vendors, is compliant with NZ privacy laws, and its security standards meet the requirements of international banks and insurance companies.​

Case Study:

Patients love our forms! We ran a survey and found that 93% of enrolling patients found our form easy to use.

How it works

Step 1

They visit your website and click through to your digital enrolment form.

Step 2

They fill out the form, upload their proof of eligibility documents, sign electronically and click Submit.

Step 3

The form data gets encrypted and stored in the portal. You will receive an email notification with a link to the form, where you can access it and download as a PDF.

Step 1

You share a new form by entering the patient’s name and email address.

Step 2

They fill out the form, upload eligibility documents, sign and click Submit.
If they partially complete it, they’ll receive periodic email reminders to complete it.

Step 3

The form data gets encrypted and stored in the portal. You will receive an email notification with a link to the form, where you can access it and download as a PDF.

Getting started is easy

We’ll take the necessary steps to ensure you have complete confidence in your final product.
  1. Requirements | We work with you to understand the fields and features you’d like in your form.
  2. Configure | We configure the form to your requirements and test it for you.
  3. Revise | You can have a play around in a demo environment, provide feedback and change requests.
  4. Publish | When you’re happy with the form, we make it public for you as a URL (link).
  5. User Setup | We’ll set you up with a user account which allows you to send, receive and manage enrolments in a single place. We can provide training if needed.
  6. Support | We’ll be just a phone call or email away to answer any questions you may have.

Get in touch

Get in touch to discuss how we can add value to your enrolment process. If you’d like a demonstration or more information on our solution, we’d be delighted to help.

If you’d prefer to call us, you can do so on 0800 566 632

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