Maternal Green Prescription - Health Care Referral

If referrer is not LMC, please give LMC/midwife details

1 = Interested in change but needs lots of encouragement, 10 = Self starter, needs some support.

Thank you for your referral, a confirmation email will be sent to you within 7 working days.
If you have any queries please contact the GRx Child and Whānau Lead on: (04) 380 2070 ext. 225 or 021 650 107.