To initiate a self-referral into He Waka Tapu's
services please complete the form below

If you wish to enquire about a self-referral you must start the process by completing the form beneath.

We will be in touch with your shortly.

Please call if you have any questions: 0800 HE WAKA (439 252)


Please Note:

  • He Waka Tapu does not provide food parcels or accommodation.
  • Please call MSD on 0800559009 if you require these supports

Referral details

Client first name required
Client last name required
Gender required
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Client contact number required
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