Well Women | Get in touch

Emergency Contacts

Get In Touch

Please fill out the form below with your enquiry.

Our emails are checked regularly for messages.

Email: referral@wellwomen.org.nz

Phone: 021 158 8134

Post: 1 Tuakau Road, Pukekohe, 2120

Are you a self referral? Y/N.

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Referral Name

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Referral Phone

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Referral Email

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Mothers Name

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Date of Birth

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Mothers Phone

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Are you able to reply to a text message (text credit) or can you connect via Whatsapp? This is a requirement.

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Mothers Email

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Mothers Address

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Emergency Contact and Ph #

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Ethnicity

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Is our criteria met? Y/N. Pregnant, (or trying to conceive) or at least 1 child 5 yrs or under.

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Are you engaged with any other services? e.g - counsillor, social worker, other social service

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Are there any barriers preventing you from attending in person groups? e.g - Transport

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Do you whakapapa to Iwi Māori or Pasifika?

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Do you consider yourself to have a disability?

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Describe your situation and provide any relevant information e.g- mental health issue/ baby/ twins/ toddler/ living situation/

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Address

Message Sent

Disclaimer : We offer a peer support model and our facilitators have lived experience. We are not mental health counsellors, psychologists, nurses etc. Therefore if you are in urgent or immediate threat to life or safety please contact the emergency contacts that are available at the bottom of the page.

By completing this form you are consenting to be being contacted by Well Women staff.

Police: 111

Mental Health Crisis Teams

Waitemata - North Shore: 09 486 8900 - Henderson: 09 822 8501 - Rodney: 09 427 0360

Auckland: 0800 800 717 (24/7)

Counties Manukau 09 261 3700 - After Hours: 0800 775 222

Waikato: 0800 505 050

Lifeline

Auckland: 09 522 2999

Outside Auckland: 0800 543 354

Free Text (HELP): 4357

Youthline

Phone: 0800 376 633

Samaritans

Ph: 0800 726 666

Peer TALK phone line

Phone: 0800 234 432 - (5pm-midnight)

Ministry of Health

Text 1737 - Free call or text anytime for a trained counsellor

Plunketline

Phone: 0800 933 922

Contact

Call us: 021 158 8134
Email us: support@wellwoman.org.nz

Emergency Contacts

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