Patient forms:

Pre-operative Anaesthetic Questionnaire - Before Surgery with Dr Yaprak for Braemar Admission Only

If you are unsure if you need to complete one of these forms or not, please contact us on (07) 838 8984. All pre-operative surgical forms should be completed as long as possible prior to surgery.

For any information you require regarding hospital admission, please contact Braemar Hospital directly on 07 843 1899.

Braemar Hospital is located on the corner of Ohaupo and Kahikatea Roads at 24 Ohaupo Road, Hamilton (across the road from Waikato Hospital).

Please fill out the following form and we will be in contact with more information

Name

What region of New Zealand do you primarily live in?

What city/town in Waikato do you live in?

Contact Phone

Date of Birth

Inquiry

Other

⚠️ Warning: If inquiring about body or breast surgery, BMI is helpful to know.

BMI (if enquiring about body/breast surgery)

Have you had previous surgery?

Yes

What are the details of your surgery?

Message

If you are outside of the Waikato region, uploading an image is required. This helps us avoid unnecessary in-person consultations that may not lead to anything. Providing clear images allows us to assess your situation properly and offer the most helpful advice before arranging a visit.

If you wish, you can upload some photos to help us determine how best to help you out. (Max 5 photos)

Maximum file size: 516MB

If you wish, you can upload some photos to help us determine how best to help you out. (Max 5 photos)

Maximum file size: 516MB

How did you hear about us?

If you are human, leave this field blank.