Child, Teen & Family Counsellor

Auckland and Far North

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Referral Assessment Form

Emergency Numbers

Ministry of Health Crisis Assessment Teams:

Lifeline Helpline

0800 543 354

Lifeline Crisis Line

Suicide Crisis Helpline
0508 828 865 (0508 TAUTOKO)

THIS FORM IS CONFIDENTIAL

Please send me a text confirming that you have submitted a referral 027 349 9937 - Please add date, time and your name.

Please provide details re the referral below.

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Narratives of Life CS Limited NZBN: 6255036 9429046018311 (c)

AU-82116561-1