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TRAINING
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REFERRAL
Tamariki & Whānau
Children & Family
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Tamariki & Whānau
Children & Family
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Tamariki & Whānau
Children & Family
Community Dental
Family Start
Kia Puāwai
Kia Māmā
Well Child Tamariki Ora
Tiaki Whānau & Kahu Piringa
Immunisation Clinic
Smokefree Support
Services
Rangatahi
Young People
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Rangatahi
Young People
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Rangatahi
Young People
Ihopūmanawa – Youth Services
Community Dental
Tiaki Whānau & Kahu Piringa
Immunisation Clinic
Smokefree Support Services
Alcohol and Other Drugs
Pakeke
Adults
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Pakeke
Adults
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Pakeke
Adults
Te Whare Rongomau
Community Dental
Immunisation Clinic
Smokefree Support Services
Alcohol and Other Drugs
Problem Gambling
Kaumātua
Elders
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Kaumātua
Elders
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Kaumātua
Elders
Te Whare Rongomau
Hei Tau te Mauri (Mate Wareware)
Kaumātua Solutions
Community Dental
Whakapā Mai
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Tā Mātou Kōrero
Our Story
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Tā Mātou Kōrero
Our Story
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Tā Mātou Kōrero
Our Story
Our Story
About Us
Tamariki & Whānau
Children & Family
Close
Tamariki & Whānau
Children & Family
Open
Tamariki & Whānau
Children & Family
Community Dental
Family Start
Kia Puāwai
Kia Mama
Well Child Tamariki Ora
Tiaki Whānau & Kahu Piringa
Immunisation Clinic
Smokefree Support
Services
Rangatahi
Young People
Close
Rangatahi
Young People
Open
Rangatahi
Young People
Ihopumanawa – Youth Services
Community Dental
Tiaki Whānau & Kahu Piringa
Immunisation Clinic
Smokefree Support Services
Alcohol and Other Drugs
Pakeke
Adults
Close
Pakeke
Adults
Open
Pakeke
Adults
Te Whare Rongomau
Community Dental
Immunisation Clinic
Smokefree Support Services
Alcohol and Other Drugs
Problem Gambling
Kaumātua
Elders
Close
Kaumātua
Elders
Open
Kaumātua
Elders
Te Whare Rongomau
Hei Tau te Mauri (Mate Wareware)
Kaumātua Solutions
Community Dental
Whakapā Mai
Contact Us
Tā Mātou Kōrero
Our Story
Close
Tā Mātou Kōrero
Our Story
Open
Tā Mātou Kōrero
Our Story
Our Story
About Us
Ko Wai Mātou
About Us
To see what services we have available or to REGISTER NOW
Select your address
Street address
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programmes criteria
Please complete the details for the child you are referring:
1.
First Name
2.
Last Name
3.
Date of Birth
4.
NHI
5.
Gender
Male
Female
6.
Ethnicity
New Zealand European
Māori
Samoan
Cook Islands Maori
Tongan
Niuean
Chinese
Indian
Other
7.
Iwi
8.
Hapū
Please complete your details: Who are you?
1.
First Name
2.
Last Name
3.
Email
4.
Phone
5.
Date of Birth
6.
NHI
7.
Gender
Male
Female
8.
Ethnicity
New Zealand European
Māori
Samoan
Cook Islands Maori
Tongan
Niuean
Chinese
Indian
Other
9.
Iwi
10.
Hapū
11.
Medical Centre
12.
Are you hapū / pregnant:
No
Yes
13.
Due date / Midwife
14.
Is language or literacy support needed?
No
Yes
15.
Preferred language
Next of Kin / Alternative contact
1.
First Name
2.
Last Name
3.
Relationship
4.
Phone
Immediate needs
Referrer details. Your referral will be acknowledged via email
1.
Is this a self-referral?
No im referring someone
Yes this is for myself
2.
First Name
3.
Last Name
4.
Phone
5.
Organisation
6.
Email
Register
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