Ūkaipō is here to walk alongside hapū and new māmā who may be experiencing a difficult or overwhelming time during pregnancy or after the birth of pēpi.

Please use this form if you would like to refer yourself to Ūkaipō. If you are a friend, whānau member or medical professional that would like to refer someone else, please go to our other referral form.

This form may take you 5-10 minutes to fill out, but it helps us understand how things are for you right now, what support you have around you, and how Ūkaipō may be able to support you. There are no right or wrong answers. You also don’t need to have everything figured out before reaching out to us.

Ūkaipō provides whānau and peer-based support and is not an emergency or crisis mental health service.

Please note at the moment we can only serve māmā who:

• Live in Tāmaki Makaurau

• Are hapū or have a pēpi aged 0-12 months

• Are willing to completing surveys and feedback/evaluation forms