Self-Referrals

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)

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Referral details

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