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Pae Ora ERMS additional questions

Home / Pae Ora ERMS additional questions

Pae Ora ki Waitaha Referral form for ERMS

The service is for those who are part of one of the following communities:
Pae Ora is available to all people meeting these criteria, including those with disability or mental illness, however, please note that the intention of Pae Ora is to meet the needs of those seeking support for physical health improvement relating to lifestyle conditions. *Note that disability and mental illness are not exclusion criteria, however, the individual should meet the definition of experiencing a physical health condition (or at risk of developing) in which lifestyle is a contributing factor. *At risk includes lifestyle factors that increase risk of developing Diabetes, Cardiovascular or Respiratory conditions
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Client Details

Please ensure you have consent to refer. Under 16's require parental consent.
DD slash MM slash YYYY
Iwi (You can select multiple Iwi)
Pasifika (You can select multiple)
Please include preferred day, time of day if appropriate, hearing/vision impairment(s) etc.

Referral Details

We will do our best to match accordingly. If no provider is indicated, a provider will be chosen on acceptance of the referral.

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If you wish to contact us please see our contact details below.

Contact
Office Contact
0800 800 743
enquiries@waitaha.health.nz

Level 1, 567 Wairakei Road Burnside. Christchurch 8053

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