Otago/Southland | Healthy Homes Initiative

Otago/Southland - Aukaha Referral Form

Refer to Aukaha below if you are in the Otago/Southland rohe. Don't stress if you're on the border of Otago/Southland, 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

Message Sent.

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