Tahia Tō Whare Referral 2024

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6 To 8 in home teaching sessions including the cleaning kit.

Once the Referral has been accepted,

1. Kaitiaki will be in contact with the person/ organisation who has reffered.

2. Invoice will be issued.

3. Upon full payment - Tangata Whai Ora will be contacted for first hui.

4. A shared google document will be created with all relivant entities, in which all photos and workbook entries are uploaded and shared.

5. All hui are input into google calenders with an open invitation to attend by referrer.

We look forward to this journey of learning together.

Email *

Tangata Whai Ora (Clients Name) *

Tangata Whai Ora Address *

Tangata Whai Ora Phone Number *

Tangata Whai Ora Whanau Situation

eg who is living at the whare

Tangata Whai Ora Whare *

Private rental

K.O

O.C.H.T

MMSI

Other:

Name of organisation,

Name of referrer

email and

phone number

Any other agencies involved? *

How many sessions? *

Only the cleaning kit

Any relivant information you would like to share? *

Will the organisation be contributing towards the cost of Tahia Tō Whare? *

yes

Partial

Other:

A copy of your responses will be emailed to the address you provided.

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