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Primary Care

Bringing quality health care services closer to the people

Our Services

Call 20065/20066 or the Healthline on 0800 1801 for a phone consultation with the doctor, free of charge. If you are feeling unwell, require medical attention or medical clearance, please contact us.

If you require urgent care or experiencing shortness of breath, dial 999.

Services provided at the Tupapa Primary Health Care Centre include patient consultations (by appointment), phone consultations and dispensing of medicine. 

For other general health needs like health checks for NCD patients, nursing care, wound dressing and baby checks, visit a Puna Health Clinic in your Vaka.

Health screening for domestic travel

Te Marae Ora will be implementing exit health clearance at air/sea ports for domestic travel. Passengers will be asked to complete the health declaration forms prior to departure. A health official will also be based at the air/sea port to monitor travellers.

Risk assessments

Cardiovascular risk assessments (CVRA) are important to prevent and reduce the impact of health conditions and promote better quality of life.

Estimate risk

CVRAs estimate risk of having first cardiovascular event e.g. heart attack or stroke in the next 5 years


Up to 70% of our population are at high risk for having a heart attack or stroke in the next 5 years. Some may be admitted to hospital, referred overseas for care or die.


CVRAs enable clinicians to identify and target high-risk groups early to receive treatment, intervention and support.

Health checks & screening

Regular health checks and routine health screenings are the best way to find and treat diseases early. Health checks and screening programmes are useful tools to detect diseases at an early, before symptoms show. Some screening programmes are done to look for a disease for example breast or cervical cancer and some are done to detect risk factors for certain diseases for example blood glucose levels and diabetes.

Your age, health and family history, lifestyle choices (such as diet, smoking status, physical activity levels) influence the type of health services you may need and how often you need health care.


Immunisation is one of the most successful public health initiatives in the world. The Cook Islands is fortunate to have high immunisation rates. This has translated to good herd immunity that is helping provide protection for our population.

Why vaccinate?

Vaccination is a successful public health method to protect against serious and preventable infectious diseases. It helps your body build up its natural immune response to develop resistance to specific infections. If you have been immunised and you come into contact with that disease, your immune system will respond to prevent you developing the disease.

Immunisation Register

Te Marae Ora has a computerised National Immunisation Register for the Cook Islands. This will help us improve our immunisation rates and coverage to offer individual protection against vaccine-preventable diseases and protection for the community against recurring epidemics. If you wish to request a copy of your vaccination record, contact a public health nurse on +682 29110.

Immunisation Schedule

Vaccinations are offered to babies, children and adults according to the schedule. The Immunisation Schedule provides a list of vaccines administered to people in the Cook Islands.

Community Health Clinics

Puna health clinics on Rarotonga have been established in 5 locations around the island.

Blackrock Puna (Vaka Puaikura), Tupapa Puna and Nikao Puna (Vaka Te Au o Tonga), Matavera Puna and Titikaveka Puna (Vaka Takitumu). There phone contacts are:

  • Blackrock – 28 185
  • Tupapa – 28 181
  • Nikao – 28 186
  • Matavera – 28 189
  • Titikaveka – 28 190

The clinics are open during the week from Monday-Friday (8am to 4pm) and basic services are free of charge.