“Well-being, together |
Waiora, tahi”

Cold and Flu

To help us care for those most in need, please review these trusted resources before booking an appointment. They provide self-care tips, guidance on when to seek medical help, and options for care if we’re busy or you’re away from home:

• Bpac: Managing colds & flu – practical advice on viral illness and symptoms to watch for.

• Your Best Care – information on virtual care, pharmacies, and Healthline (0800 611 116, free 24/7).

• Healthify – reliable health topics, medicines, and self-care resources.

• Practice Plus – easy access to after-hours and virtual GP appointments.

Your understanding helps us support all our patients safely and quickly.

 Relief is just an appointment away.

We uses the latest technology to safely and gently remove ear wax.

Common symptoms of ear wax build-up:

• Earache

• Hearing loss

• Itchiness in or around the ear

• Vertigo (dizziness)

• Ear infections

📌 Available to enrolled and non-enrolled patients!
📞 Call 03 388 9686 to book, or book online through our patient portal.

March 2026 🗓️
From February 2026, GPs in New Zealand will be able to diagnose ADHD and initiate ADHD medication.
We know many patients and whānau are waiting for clearer pathways and shorter delays.

Below is an update on how ADHD care will work at Travis Medical Centre

ADHD Assessments at Travis

• 🚫 No NP/GPs at Travis Medical are offering ADHD assessments
ADHD assessments will continue to be completed by:
• Psychologists
• Psychiatrists
• NP/GPs in other practices who have completed specialised ADHD assessment training
Cost:
A Clinician-provided ADHD assessment is not government funded and is likely to cost a similar amount to assessments provided by psychologists or psychiatrists.

Initiating ADHD Medication at Travis Medical
All GPs at Travis Medical are currently upskilling so they can safely initiate ADHD medication from February 2026.

What you’ll need before medication can be started –
Before we can initiate ADHD medication, patients must provide a comprehensive diagnostic report completed by:
• 🧠 a psychologist
• 🩺 a psychiatrist, or
• 👩‍⚕️ a GP/NP with formal ADHD assessment training
These reports are detailed and require careful review to ensure safe, evidence-based prescribing.
You will also need:
• 🧪 a urine test
• ❤️ an ECG

Process and Costs for ADHD Medication Initiation
Step 1: Specialist report review
Your Enrolled Clinician reviews your diagnostic report and treatment recommendations.

Cost: $75

Step 2: Health checks
Appointment with a nurse or healthcare assistant to:
• check blood pressure, heart rate and weight
• arrange urine testing and ECG
Cost: $60

Step 3: Enrolled Clinician appointment to start medication if appropriate
A 15 minute GP/NP appointment to discuss treatment options and, if appropriate, initiate medication. Signing of a contract.
Depending on Health checks. There is no guarantee of script at this time if the Clinician has concerns.

Costs:
• $62
• Community Services Card:
$20 (15 minutes)

Step 4: Follow-up care
Ongoing GP/NP appointments to monitor response, side effects, and make any adjustments.
Cost: Usual fees apply

Cost support 💙
In some situations, funding support may be available if cost is a barrier to accessing care. Please discuss this with your enrolled clinician.

Why can’t this be done in a usual 15-minute appointment?
We understand this may feel unexpected or frustrating. However, safe ADHD prescribing requires more time.
Your Enrolled Clinician must ensure that:
• ✔️ all legal, clinical, and safety requirements are met
• ❤️ cardiovascular and mental health history are carefully reviewed
• 💬 medication options, risks, benefits, and monitoring plans are fully discussed
• 🤝 shared decision-making occurs without rushing
• 🛡️ follow-up and safety monitoring are clearly arranged
This cannot be done safely within a standard 15-minute appointment.

Why is there a cost for initiating ADHD medication? 💰
At present, there is no government funding allocated for ADHD medication initiation in general practice.
Most NP/GP visits are partially subsidised by the government. Because ADHD medication initiation is not funded, patients are required to cover the full cost of these appointments.

Why aren’t ADHD assessments offered at present? 🤔
We recognise the long waits and high costs many people face when seeking an ADHD assessment.
Our decision is not due to lack of interest. Rather:
• ADHD assessment requires substantial specialised training, with no funded time or support
• NP/GPs complete training in their own time and at their own cost
• Current capacity allows us to upskill for medication initiation, but not full assessments
• Offering full ADHD assessments would significantly reduce availability for routine GP care for our wider patient community

Our commitment
While we are not offering ADHD assessments currently, we are committed to:
• 🤝 supporting patients who already have an ADHD diagnosis
• 💊 providing safe, evidence-based ADHD medication initiation
• 🔍 being open and transparent about costs
• 🛑 avoiding rushed or unsafe prescribing
• 📢 continuing to advocate for clearer pathways and government funding for ADHD care in primary care
We understand that ADHD assessment and treatment can be an emotional and sometimes frustrating journey. By explaining our process clearly, we hope to reduce surprises, set expectations, and support you through the next steps.
If you have questions about what this means for you or your whānau, please contact your enrolled Clinician.

Appointment Policy Reminder

Appointments at our clinic are in high demand. If you are unable to attend your scheduled appointment, please give us at least 2 hours’ notice so we can offer the slot to someone else in need.

If you do not attend your appointment without prior notice, a $20 fee will apply.

This policy applies to both children and adults.

We understand that emergencies happen, but repeated non-attendance affects everyone. Please be considerate and help us provide timely care to all our patients.

Thank you for your cooperation.

We are here to assist you and your family achieve your health and wellbeing goals.

The practice has a ZERO TOLERANCE approach to any verbal, aggressive or violent abuse and behaviour towards staff or patients.  If a patient or any person who attends an appointment at the practice is abusive or aggressive towards staff and/or other patients, you may be removed from our enrolled patients list.

Important Update:

We are excited to launch MyIndici, our new online health portal.

Please make sure to register on the MyIndici portal to access your medical records, appointments, and other services.

To get started:

Click on the link below to create your account:
https://myindici.co.nz/Account/RegistrationIndici?ID=F3C36D91-2DE8-49C4-AC01-FC052BD47886

MyIndici

• Easy to download and register
• Book and manage appointments quickly
• Request repeat prescriptions
• View lab test results and consultation notes
• Access a summary of your health information
• Receive notification reminders for appointments, as well as updates on the status of your prescription request
• Passcode, touch/facial recognition – no more forgetting your username and password!
• Available on both Android and iOS

To help patients access care more efficiently, our nurses provide telephone triage and clinical advice where appropriate. This service allows many health concerns to be assessed and managed without the need for a face-to-face appointment.

How it works

When you contact the practice, our reception team may arrange for a nurse to call you back. During this call, the nurse will assess your concerns, provide clinical advice, and determine whether an appointment with a GP or Nurse Practitioner is required.

Charges

A nurse triage call is a clinical service and may incur a fee when advice is provided or your concern is resolved without the need for an appointment.

Examples include:

• Clinical advice provided over the phone

• Management of a health concern without an appointment

• Medical certificates issued following a nurse assessment

If an appointment is required following the nurse call, there won’t be an additional triage charge.

Funding Support

In some situations, funding may be available to cover the cost of nurse triage services. Where this applies, our nursing team will advise you during the call.

Why are there charges?

Our nurses provide professional clinical assessment and advice during triage calls. Charging for this service recognises the clinical time and expertise provided, even when an appointment is not required.

If you have any questions about nurse triage charges, please speak with our nursing team.