NZTA MyHealthLink Portal Application

HealthLink Portal Application Form

The NZTA Medical Certificate for Driver Licence (DL9) is moving from a paper-based process to a digital service delivered through HealthLink.

Most healthcare providers already have HealthLink access through their practice management system, such as Medtech, MyPractice, Indici or Profile for Windows, or through an existing HealthLink Portal account. If you already use HealthLink to securely exchange health information, you may not need to apply.

This form is for healthcare providers who do not have HealthLink access and require a Portal account to complete and submit digital DL9 medical certificates to NZTA.

Before you apply

Each Portal user must have access to a valid HealthSecure digital certificate.

If you do not have one, contact the Registration Authority before applying:

0800 117 590
registration.authority@acc.co.nz

If your organisation has a site certificate, you may list the same certificate for each user requiring access.

What happens next?

Application form

Your organisation details

Company name

Trading name (if different from above)

Facility health provider index (hpi) number What's this?

Phone

Fax (Optional)

Street address

Suburb (Optional)

City

Post code

Organisation email address

Primary contact name

Primary contact phone

Primary contact email

Nominated person in your organisation who has approved this request for access

User 1 Details

Preferred username (minimum 8 characters)

First name

Last name

Position/role

Mobile phone (Optional)

Registration number (Optional)

Digital certificate name

User 2 Details

Preferred username (minimum 8 characters)

First name

Last name

Position/role

Mobile phone (Optional)

Registration number (Optional)

Digital certificate name

User 3 Details

Preferred username (minimum 8 characters)

First name

Last name

Position/role

Mobile phone (Optional)

Registration number (Optional)

Digital certificate name

User 4 Details

Preferred username (minimum 8 characters)

First name

Last name

Position/role

Mobile phone (Optional)

Registration number (Optional)

Digital certificate name

User 5 Details

Preferred username (minimum 8 characters)

First name

Last name

Position/role

Mobile phone (Optional)

Registration number (Optional)

Digital certificate name

User 6 Details

Preferred username (minimum 8 characters)

First name

Last name

Position/role

Mobile phone (Optional)

Registration number (Optional)

Digital certificate name

Declarations

I hereby confirm that my organisation has an appropriate Privacy Policy that applies to all employees/contractors and all employees/contractors have been informed of their personal accountabilities to keep health information private.

I hereby confirm that my organisation will be responsible for managing access and contact HealthLink if any changes are required (eg. when staff members leave and no longer require access).

What happens next?

Complete and submit the application form below. HealthLink will review your application and contact you once your HealthLink Portal access has been approved and activated.

Please allow up to three working days for your application to be processed.

Once access has been activated, authorised users will be able to sign in to HealthLink Portal and access the digital NZTA Medical Certificate for Driver Licence (DL9).

Already have HealthLink access?

You do not need to apply for another account if you can already access HealthLink Forms through your compatible practice management system or the MyHealthLink Portal.

When the digital DL9 becomes available to your organisation, you will be able to launch it from the HealthLink Forms page.

Find out more about the digital NZTA DL9

Apply for access to the digital NZTA DL9

HealthLink Portal Application Form

Application form

Connecting health providers across New Zealand