Referrals to Te Whare O Taonga

Please complete the referral form below and our relevant kaimahi will be in touch.

We accept referrals from external agencies, eg social services, Oranga Tamariki, self-referral, health agencies.

Referral Type

Self-referral

Agency referral

Whānau referral

Other

Name of referrer

Phone

Position

Organisation

Name of person being referred

Date of Birth

Day

Month

Year

Ethnicity

Iwi / Hapū affiliation (if known)

Language(s)

Address

Phone

Parent / Carer name (if applicable)

Parent / Carer phone

Parent / Carer Email

Please indicate the following based on the last 6 months

History of violence or aggression

Mental health concerns

Self-harm or suicide risk

Drug or alcohol misuse

Gang affiliation / criminal history

Family harm or abuse

Housing instability / homelessness

Involvement with Oranga Tamariki

Children involved / in care

What support are you wanting to receive from Taonga?

Are there any other organisations / agencies involved with the person being referred?

Please indicate if you would also like to be referred to our following services

Māmā Awhi

Teen Parent Services

Māmā Awhi Services - An education programme for teenagers preparing for parenthood.