Client intake form

Please type your full name.

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Client waiver (I agree with the below statement)

In accordance with the Privacy Act 2020, I understand that this information is to be recorded. It has also been explained to me that my file may be inspected by a representative of our contract provider/s for the purposes of a quality review of this service. I understand that in rare cases the Ministry of Social Development may request my file be transferred to either themselves or another budgeting provider.

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Union Dental
Location

First Floor, Hancock Community House
77 King Street
Palmerston North

Contact

Freephone: 0800 228 343
Phone: 06 358 2279
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Office Hours
  • Mon–Tue

    9 am – 3pm

  • Wed

    9:30 am – 5 pm and until 7pm by appointment

  • Thurs

    9am – 3 pm

  • Fri

    9am – 12 pm

© Moneywise Manawatu. All rights reserved.

© Moneywise Manawatu. All rights reserved.