In case of an emergency please call 111 first

Urgent Care & Accident & Medical Clinic

We have 2 Urgent Care & Accident & Medical Clinic locations. You do not need to make an appointment for medical treatment. We are open from 8am to 10pm 7 days a week for accident and medical care.

 

Our Urgent Care clinic is to provide you with treatment for an accident where you have an injury or an illness that requires urgent medical attention but is not serious enough to warrant a visit to the public hospital emergency room.

 

We can look after you if you have an accident where you have an injury to any part of your body or are unable to get into your own GP and you have an urgent or acute medical problem that can’t wait until you can get an appointment with your GP.

 

Urgent Care is not a family doctor to see about ongoing non urgent long term medical conditions, repeat prescriptions, routine blood tests, referrals to specialists or non acute surgical issues. This is the reason the Urgent Care Doctor may refer you back to your own family GP for specific tests, follow up or referral to other specialists once they have treated you for your immediate medical problem.

Our Fees

Urgent Care – 8am to 5pm – Monday to Friday

ACC 1st Visit

ACC with Community Services Card 1st Visit

All ACC Follow Up

Medical with Community Services Card

Medical

Medical NON-NZ Resident

Child under 6
Free
Child 6 to 13
Free
Child 14 to 17
$22.00
Adult 18+
$32.00
Child under 6
Free
Child 6 to 13
Free
Child 14 to 17
$13.00
Adult 18+
$19.00
Child under 6
Free
Child 6 to 13
Free
Child 14 to 17
$5.00
Adult 18+
$10.00
Child under 6
Free
Child 6 to 13
Free
Child 14 to 17
$25.00
Adult 18+
$45.00
Child under 6
Free
Child 6 to 13
$25.00
Child 14 to 17
$35.00
Adult 18+
$70.00
Child under 6
$40.00
Child 6 to 13
$40.00
Child 14 to 17
$85.00
Adult 18+
$110.00

ACC 1st Visit

Child under 6
Free
Child 6 to 13
Free
Child 14 to 17
$22.00
Adult 18+
$32.00

ACC with Community Services Card 1st Visit

Child under 6
Free
Child 6 to 13
Free
Child 14 to 17
$13.00
Adult 18+
$19.00

All ACC Follow Up

Child under 6
Free
Child 6 to 13
Free
Child 14 to 17
$5.00
Adult 18+
$10.00

Medical with Community Services Card

Child under 6
Free
Child 6 to 13
Free
Child 14 to 17
$25.00
Adult 18+
$45.00

Medical

Child under 6
Free
Child 6 to 13
$25.00
Child 14 to 17
$35.00
Adult 18+
$70.00

Medical NON-NZ Resident

Child under 6
$40.00
Child 6 to 13
$40.00
Child 14 to 17
$85.00
Adult 18+
$110.00

Urgent Care – After 5pm Weekdays and Weekends

ACC 1st Visit

All ACC Follow Up

Medical with Community Services Card or Q5 AND enrolled with an Auckland GP

Medical Non-Aucklander with Community Services Card

Medical Not Subsidised

Medical NON-NZ Resident

Child under 6
Free
Child 6 to 13
Free
Child 14 to 17
$36.00
Adult 18 to 64
$46.00
Adult 65+
$46.00
Child under 6
Free
Child 6 to 13
Free
Child 14 to 17
$5.00
Adult 18 to 64
$10.00
Adult 65+
$10.00
Child under 6
Free
Child 6 to 13
Free
Child 14 to 17
$25.00
Adult 18 to 64
$40.00
Adult 65+
$35.00
Child under 6
Free
Child 6 to 13
Free
Child 14 to 17
$35.00
Adult 18 to 64
$65.00
Adult 65+
$65.00
Child under 6
Free
Child 6 to 13
Free
Child 14 to 17
$45.00
Adult 18 to 64
$80.00
Adult 65+
$80.00
Child under 6
$50
Child 6 to 13
$50
Child 14 to 17
$95.00
Adult 18 to 64
$120.00
Adult 65+
$120.00

ACC 1st Visit

Child under 6
Free
Child 6 to 13
Free
Child 14 to 17
$36.00
Adult 18 to 64
$46.00
Adult 65+
$46.00

All ACC Follow Up

Child under 6
Free
Child 6 to 13
Free
Child 14 to 17
$5.00
Adult 18 to 64
$10.00
Adult 65+
$10.00

Medical with Community Services Card or Q5 AND enrolled with an Auckland GP

Child under 6
Free
Child 6 to 13
Free
Child 14 to 17
$25.00
Adult 18 to 64
$40.00
Adult 65+
$35.00

Medical Non-Aucklander with Community Services Card

Child under 6
Free
Child 6 to 13
Free
Child 14 to 17
$35.00
Adult 18 to 64
$65.00
Adult 65+
$65.00

Medical Not Subsidised

Child under 6
Free
Child 6 to 13
Free
Child 14 to 17
$45.00
Adult 18 to 64
$80.00
Adult 65+
$80.00

Medical NON-NZ Resident

Child under 6
$50
Child 6 to 13
$50
Child 14 to 17
$95.00
Adult 18 to 64
$120.00
Adult 65+
$120.00

Our Services

Fracture Clinic

Counties Medical holds two full day fracture clinics every week –

  • Tuesdays at Papakura – 6-18 O’Shannessey Street 
  • Thursdays at Takanini – 106 Great South Road

The aim of our fracture clinic service is to keep patients from having to go to hospital for treatment or follow up for those who do not require surgical intervention for their bone fracture. Its easier and more convenient for you.

You can be referred by your own GP to these fracture clinics or if you have had a fracture treated at our Urgent Care Clinic, you may be asked to follow up at one of our fracture clinics.

Both clinics are attended by senior nursing staff with fracture experience (including plaster casting) and Dr William Kim and Dr Chris Main provide excellent fracture management.

Both sites have onsite X-Ray services with Auckland Radiology, and all films taken at any other sites, including Middlemore, can be accessed via the computer by our clinical staff.

If you have been referred by your own Doctor or have been asked to make a fracture clinic appointment with us, please phone (09) 299 9380 to make the appointment. 

There are specific timeframes for follow up depending on the type of fracture you have and when the injury happened. We do try to be as flexible as possible but it is so important you keep this appointment to ensure your fracture is healing as it should.

Occupational Health

Counties Medical offers Occupational Health services to companies. This can be as a one-off arrangement or an ongoing service. For acute workplace injury treatment we can also open an account for companies and we will invoice you when the services are required for employees or contractors.

Pre-employment medical
We can provide this service for your company – for one or two employees or more by appointment.
This basic medical testing includes height, weight, blood pressure, pulse, peak flow, vision testing, urine testing and a verbal health questionnaire to determine medical history and risk factors. The patient is required to provide consent and their identification is verified. Both a doctor and nurse are involved, and the process generally takes 30 – 40 mins.
We have generic forms that we can add the company logo to or we can use specific company forms. Price may vary according to complexity of what you require.
Audiology can be added if required for an additional cost.
Spirometry can be added if required for an additional cost.
Chest x-ray (asbestos monitoring) can be added if required an additional cost.

Drug testing
Drug testing can be arranged as part of a pre-employment medical assessment or can be a stand-alone test for random, incident or probable cause events. The drug test we offer covers cannabis, opiates, amphetamines, benzodiazepines and cocaine. We collect the sample and send it to ESR (Institute of Environmental Science and Research, New Zealand’s Crown Research Institute) for testing and get a result usually within 48hrs.
If the test screen results are “not negative”, there is an additional cost added for further confirmation analysis. We prefer to use this company as they have incontestable quality programs in place to provide accurate results and can also test for synthetics if required.
Alcohol can be added to this test for an additional cost.
Synthetic cannabis can be added for an additional cost.

Immunisations
We can provide immunisations according to workplace needs. Immunisation prices are determined by the cost of lab screening and/or vaccine with a service charge per visit.

Driver’s Medicals
These can be arranged for Class 2 heavy truck drivers who are not registered with a GP. If ECG or blood tests are required, the cost will increase.

ACC work related injuries
Medical costs for ACC work related injuries are determined based on whether these occur in business hours or after hours. There is a separate charge for first visit and follow up visits.

Company Flu Vaccination
We can also arrange with companies to vaccinate staff with the annual flu vaccination. Note at this stage this does not include a vaccination for COVID-19.

For further detailed information and costs relating to our services for Occupational Health, please contact Sheryl French; Sheryl.French@countiesmedical.co.nz. Or phone (09) 299 9380 Monday to Friday.

An arrangement can generally be organised within a couple of days depending on numbers being tested.
If you have a special requirement, please do not hesitate to ask as we may be able to assist you with this.

Spirometry

Spirometry (spy-ROM-uh-tree) Tests by measuring how much air is inhaled, how much exhaled and how quickly a patient exhales. The test involves blowing into a tube with force a minimum of three times.
Why it is done
Spirometry is used to diagnose asthma, chronic obstructive pulmonary disease (COPD) and other conditions that affect breathing. It may also be used periodically to monitor your lung condition for work assessments and monitoring and check whether a treatment for a chronic lung condition is helping you breathe better.
A doctor may suggest a spirometry test if they suspect signs or symptoms may be caused by a chronic lung condition such as:

  •  Asthma
  • COPD
  • Chronic bronchitis
  • Emphysema
  •  Pulmonary fibrosis

If you have already been diagnosed with a chronic lung disorder, spirometry may be used periodically to check how well medications are working and whether your breathing problems are under control by regular testing or doing a Ventolin Challenge test.
Spirometry may be ordered before a planned surgery to check lung function is adequate for the anaesthetic of an operation.
Additionally, spirometry may be used to screen for occupational-related lung disorders such as Asbestos exposure.

 

Preparation for your test

Prior to having this test you need to have stopped your reliever (Ventolin, respigen, salbutamol etc.) at least 6 hours prior to your appointment.
If you are on a preventer (Flixotide, Seretide, Symbicort, Spiriva etc.) you need to have stopped this at least 12 hours prior to your appointment.

You need to bring your inhalers with you to your appointment and a list of any other medications you may be taking.
The nurse also needs to know if you have had/have a cold or blocked nose as this can affect the outcome.
Make sure you also tell the nurse if you have any other medical conditions such as a heart condition high blood pressure that may cause an issue during testing.
The procedure generally takes about approximately 45 min – 1 hour to complete but may take longer.
Your spirometry test will be explained fully to you before you have it done, and you will have an opportunity to ask questions.

 

Aclasta

Zoledronate (also known as Zoledronic acid or Aclasta) is the most potent medicine in the bisphosphonate class currently available. Bisphosphonates work by preventing resorption of bone by inhibiting the function of bone-dissolving cells called osteoclasts. Bisphosphonates are licensed in New Zealand for the treatment of osteoporosis and Paget’s disease, and are also used for preventing some forms of cancer from spreading in bone. Zoledronate is given by an intravenous infusion (into a vein in the arm via a “drip”) over about 15-30 minutes. Zoledronate increases the bone density in patients with osteoporosis, to about the same extent as other medicines such as Alendronate (Fosamax), and is effective at reducing fracture rates, by 35-70%.

The main side effect from the use of Zolendronate is flu like illness, consisting of muscle aches and fever. This occurs in up to 30% of people who take it. This usually comes on within 24 hours of the infusion and seldom lasts more than three days. In most cases it is mild, though some individuals can feel significantly unwell for a few days. If this occurs, you should take some Paracetamol or other anti-inflammatory medicine for the duration of the symptoms. The great majority of individuals don’t have any such symptoms. Some individuals with pre-existing kidney damage have seen deterioration in their kidney function after the use of Zolendronate. It is not clear that this is related to Zolendronate itself, but it is normal practice not to use this medicine in people whose kidneys are not functioning well.

Other than flu-like symptoms after the first infusion, side effects from Zoledronate treatment are uncommon, and are in general no different from placebo-treated patients in randomised trials. It should be remembered that major fractures can be very dangerous, so this should be balanced against the small risk of ill effects from treatments.

Treatment is usually accompanied by vitamin D tablets given at the time of the infusion, to help keep blood calcium levels normal. Calcium tablets are not normally recommended.

 

Side effects of Zoledronate include:
  • About 30% of individuals may experience a flu-like feeling after their first treatment, which usually last 24-72 hours, but which can occasionally go on for longer, sometimes with associated muscle or joint aching.  This usually responds well to regular Paracetamol or an anti-inflammatory such as Nurofen or Diclofenac.  The chance of this side-effect occurring after second or third Zoledronate infusions is much lower (about 3-4%).
  • Individuals with severe pre-existing kidney damage can sometimes experience deterioration in their kidney function after the administration of Zoledronate.  It is normal practice not to use Zoledronate in people whose kidneys are not functioning well.
  • Very rarely, drugs in the bisphosphonate class can cause eye inflammation.
  • Osteonecrosis of the jaw (ulceration in tooth sockets or the gums).
Unproven side effects with Zoledronate include:
  • Atrial fibrillation (an abnormal heart rhythm noted by one group of overseas investigations but not seen in any other clinical trials).
  • Upper leg fractures (Reported in isolated cases by doctors in Singapore and the USA, but not clearly related to bisphosphonate therapy).

A few day after your infusion you will need to have a blood test to check that your kidneys and calcium levels have remained stable.
If you have any other questions about this medicine, or your bone condition, contact your Family Doctor.

Iron Infusion

If you are a Ferinject patient and require an infusion click here to download the information leaflet.

Click here to download the referral form.

Lab Results

If your Doctor gives you a lab form to get tests done, you need to take that form to Labtests site for these to be done. The Labtest locations can be found here: Labtests South Auckland Centres. Your test result is then sent to the Urgent Care clinic and a copy will also go to your family GP if you have listed this when you came to see us. If the result requires urgent action, you will be phoned immediately by our Urgent Care staff. If results require follow up but not urgently, you will be contacted so that you can then go to see your GP for follow up. If your results are normal, you will NOT receive any notification, unless this was specified at the time you saw the Urgent Care Doctor’

Emergency Q

Our Urgent Care is to provide you with treatment where you have an injury or an illness that requires urgent medical attention but is not serious enough to warrant a visit to the public hospital emergency room. We do, however, regularly transfer people by ambulance to Middlemore Hospital if their condition is serious enough or deteriorates and a hospital admission is necessary. Keeping you out of hospital is our aim wherever possible. 

Counties Medical LP Urgent Care Clinics are in partnership with Middlemore Hospital with Emergency Q. 

The reason for this is that Middlemore Hospital does not have capacity to treat all its less urgent or serious injuries or illnesses. It needs to focus on people needing emergency and urgent serious attention. 

Emergency Q has been set up so that these patients presenting at Middlemore Emergency Department (ED) – with less serious and urgent problem, can choose to be given a voucher with a unique 5 digit code (being a phone voucher or a hard copy voucher) to come to Counties Medical Urgent Care for treatment. You, the patient, does NOT pay anything for being treated by us instead of Middlemore – it also means that you will not have to wait so long to be treated. 

Middlemore wait times can be very lengthy for non-urgent problems. This helps everybody – Middlemore ED and you the patient needing treatment and care. 

It also means you can get this treatment closer to where you live as we have our clinics in both Papakura and Takanini. 

  • The voucher is valid for 2 hours once issued at Middlemore – so you must present at the clinic within 2 hours of it being issued. 
  • You don’t have to pay for your treatment at our Urgent Care but you must have been issued with the voucher with its unique 5 digit code from Middlemore 
  • You get seen, treated and back home in a shorter time. 
  • This applies only to Urgent Care and not to our GP Clinic 

Emergency Q & Counties Medical – Helping you, helping our local Hospital

Patient Information

Newsletter:

Counties Medical want to keep our community regularly updated with what is happening in our clinics and community. For the latest Urgent Care clinic newsletter please click here.