Referral is easy. Please contact us using the form below.

We will respond as soon as possible setting out the options for referral, including whether the client is eligible to be covered by any DHB funding, according to our contracts which are available upon request.


Referrer*
Referrers Address*
Referrers Email*
Patient Name*
Patient NHI No
Patient DOB
Sex*
Ethnicity*
Main Diagnosis*
Please enter the verification code*