Lakes | Healthy Homes Initiative

Lakes - 20 Degrees Referral Form

Refer to 20 Degrees below if you are in the Lakes rohe. Don't stress if you're on a border of Lakes, just refer and we can work out the best providers for you :)

Who is this referral for?

If you are referring on behalf of a whānau: Your name, organisation, and contact email/number

Whānau name

Whānau email

Whānau phone number

Whānau address/town

Whānau has a CSC

Whānau has a child under 6 living in my home

What home and/or health issues are the whānau dealing with? (i.e. mould, leaks, draughts, structural concerns, hospitalisations)

Address

Thank you for reaching out. Someone from Health Homes Service will be in touch about this referral.

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