APM Tamariki Services

Please complete this questionnaire regarding your tamariki or rangatahi’s medical and birth history.

Please answer the following questions as best you can - this will help us gain a better understanding of their situation.

You don’t need to go into a lot of detail, but any information you can give is helpful. 

If you don’t know or are unsure how to answer any of these questions, leave them blank and we can discuss further in the initial consultation.

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