Services referring to (can be more than one): Te Whare O Taonga Supported House for vulnerable and at risk teen Mothers and Their Tamariki
Teen Parent Intensive Case Workers Social worker for vulnerable and at risk teen Parent in Manurewa
Teen Parent Unit Education Centre for Teen mothers (secondary school) and their Tamariki (early childhood centre) Referrer Self referral
First and Middle Name of person being referred:
Home address
Are there any CYF orders under section 101 or 78 of the Children, Young Persons, and Their Families Act 1989? Yes No Teen Mother: Yes 101 78 Tamariki: Yes 101 78 Is there any Child, Youth and Family involvement? Yes No
Reason for referral: Other Agencies Involved:
Past history: Concerns:
