Health Coach Form

Wellbeing Service - Health Coach (HC)
Would you like to learn new skills to improve your Health and wellbeing?

You can book in to see a HC for FREE if you are an enrolled patient with MHC.

Our Health Coach is a member of the team here at Mangere Health Centre, their role is to help our enrolled patients to improve their overall health and wellbeing.

The appointments are brief (less than 30 mins) and you can probably talk to them Today!

Please complete the Jotform and we will be in touch with you.
Wellbeing Service
We have a Health Coach at Mangere Health Centre who supports people to gain the knowledge, skills, and confidence to become informed and active in their healthcare.

Health Coaches can support with things like…
- Learning about common health conditions such as pre-diabetes, diabetes, cholesterol, gout and high blood pressure
- Managing health conditions
- Healthy eating and exercise
- Being Smokefree or reducing smoking
- Communicating with your doctor, nurse or other health professional
What to expect when you see a Health Coach?
- Seeing a health coach is always free
- Health coaches normally meet people for 15-20 minutes
- Health coaches can stay in touch face to face or by phone
- Whanau and loved ones are welcome to see a health coach with you
Health Coaches can connect you to further support such as:
- Group programmes
- Smoking cessation
- Green Prescription
- Online information and support
- Awhi Ora Community Support
Name*

First NameLast Name
Date of Birth*

DayMonthYear
Phone number*
Please enter a valid phone number.
Email
example@example.com
Would you like the Health Coach to contact you?*

YesNo
What is your preferred method of contact for appointments with Health Coach: *

In person appointmentTelephone call appointmentEmailOther
What would be the best day and time to contact you?* Health Coach working hours are Monday to Friday 9 am till 4 pm.*
Please provide some suggestions of a suitable day and time to contact you.
Please explain what would you like help with?*
If you have any queries, please don't hesitate to contact the Mangere Health Centre at 09 255 0600.

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Wellbeing Service - Health Coach (HC)