Thanks for visiting Eureka Mums!
To access our services all caseworkers, social workers and maternal and child health nurses must be registered with Eureka Mums. If you are not yet registered, please register here prior to completing this form.
Please note, complete one form for each family you are requesting for. (Except for One Mother to Another orders - see below).
Until Mother's Day we are offering One Mother to Another Gift Packs for your clients. If you require multiple packs please fill in one request form - we don't require individual forms for each client in this case. In the 'Mother's Name' field please use 'OMTA' and note the number required in the One Mother to Another box on this form.
For helpful hints on how to complete this form please click here.
For further assistance or for emergency requests, please contact the Social Services Coordinator via email
We look forward to receiving your request soon - thank you for your support of families in need.