• Registering with the Medical Dependency Register does not guarantee service continuity.  Although less likely, services may still be suspended for non-payment or due to a fault / network outage.  Customers who have a medical dependency on their Home phone should also have a mobile phone, in the event that their Home phone service is unavailable. 

Registering with the Medical Dependency Register does not make Slingshot liable for any loss as a result of services not being provided.

Registering with the Medical Dependency Register reduces the likelihood of a customer’s Home phone service being disconnected for non-payment but it does not mean that other services will not be terminated, such as Broadband.

Customers must apply to be on the Slingshot Medical Dependency Register.  If a customer on the Medical Dependency Register moves address or the name of the account holder changes then they will need to reapply. 

Slingshot does not charge customers to be on the Medical Dependency Register, although their doctor may charge a fee for a medical certificate to support their application. 

Slingshot will use your health information for the purposes of determining your eligibility to be included on the Medical Dependency Register, administering the register and deciding whether services will be provided incl. at times of non-payment. 

The following medical conditions are indicative of reasons why a customer will want to be on the Slingshot Medical Dependency Register –

• People who are known to be at high-risk of respiratory emergencies
• People who are known to be at high-risk of mental health disorders
• People who are dependent on medical technology in the home
• People who are known to suffer from conditions which may cause them to suddenly lose consciousness 
• People who are at a high risk of cardiovascular emergencies 
• People with a known medical condition who live alone without the necessary support of others incl. those in remote locations

This form is to be completed by the Slingshot Homeline Account Holder or their Representative.  It requires proof to be attached from a Medical Practitioner confirming that someone who lives at the address is dependent on telephone access for critical medical support. Once the completed form is received together with a medical certificate and assuming it is deemed by us to fit our criteria of when a customer should be placed on the Medical Dependency register the person will be placed on the register for 1 year maximum.

Please email the completed form and medical certificate to SSDebtManagement@team.slingshot.co.nz or post to Private Bag 108-109 Symonds Street, Auckland Attention: Collections Team.

To be filled in by the person who is dependent on a home telephone service or their representative -

Homeline account number:

Account holder first name:

Account holder surname:

Residential address:

Homeline phone number (which you consider necessary for medical reasons):

Contact phone number (If different from above):

Mobile number (if you don’t provide a mobile number we will be limited to being able to make contact to warn of any changes to service):

Is the account holder medically dependent? Yes/No

If  you answered 'No' above, please give the full name of the person who is medically dependent and what relation the person is to the account holder -

Medical dependent first name:

Medical dependent surname:

Relationship to the account holder:



Please provide an alternative contact not living at the same address:

Alternative contact person name:

Alternative contact relationship to you

To be filled in by your medical practitioner -

Designation: E.g.: GP, Specialist:

Medical practitioner first name:

Medical practitioner surname:

Business address:

Phone number:

Mobile number:

After hours number:

Official stamp of professional registration:

Certificate of membership number:

Name of patient requiring continued access to telephone service:

Confirm patient has a condition which requires continuous access to a telephone service: Yes/No

I have attached a medical certificate signed by a Medical Practitioner to support this.

Submitting your application means you acknowledge the following -

1. I understand that Slingshot cannot guarantee continuous or fault free services.
2. I have thought about what I would do in case of an unexpected outage.
3. I understand that Slingshot will not always be able to inform me in advance if services will be unavailable.
4. I understand that Slingshot strongly recommends that customers who have a medical dependency on their phone line have a mobile phone as well as a Home phone.
5. I understand that a cordless phone may rely on mains power and may not work if there is a power outage even if the services I receive from Slingshot still work.
6. I have provided the contact details for an alternative contact who lives nearby and who has agreed to act as my alternative contact. I understand that Slingshot may contact my alternative contact about me and my services as required for the purposes of the register.
7. I understand that being on the Medical Dependency Register does not exclude me from collection action if my account is overdue.
8. I  confirm that all of the information I have provided on this form is correct.
9. I confirm that I fulfil the eligibility criteria for Medical Dependency Registration, as I or someone living at the nominated address has a diagnosed life-threatening medical condition that leaves me/someone living at this address at a high risk of a rapid deterioration to a life-threatening situation and where access to a telephone would assist to remedy the life-threatening situation.
10. I acknowledge that Slingshot has the right to refuse my application if I do not meet its eligibility criteria.
11. I consent to Slingshot collecting the information provided with this form and to use this information for the purposes of: