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Te Whare Hauora self referral
Use this form to request an appointment with a counsellor or nurse - one of us will be in touch with you as soon as we can.
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Email
*
Record my email address with my response
My name is:
*
Your answer
I wish to see:
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Counsellor - Whāea Kaz or Whāea Kelly
Nurse
Manukura Akona (SWiS) (Year 7 and 8 only)
My issue is:
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Write anything you think we may need to know here:
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