Do you or someone you know need help?

Please add as much information as possible to the following referral form to let us know how we can best help. Alternatively, feel free to print the downloadable version and drop into one of our locations.


We also offer waitlist sessions with our wellbeing coaches while you wait to see your clinician. This isn't a replacement for counselling/talk-therapy but is a great way to get started with some practical support within the 5 ways to wellbeing while you wait.

(Note: If you are located within the Central Otago region, waitlist support with our Wellbeing Coach will be via Telehealth (phone/videocall).

Online Referral Form

Share by: