top of page

Home
About
Services
Events
Contact
More

Use tab to navigate through the menu items.

Referral

Make a referral here for yourself or for someone you know

Who is the referral for?

Myself

Someone I know

A client

Referrals Name *

Contact number*

Referrals Date of Birth

Day

Month

Year

Referrals Address

Referrals Ethnicity

Samoan

Tongan

Cook Islands Māori

Fijian

NZ European / Pākehā

Māori

Other

Referrers contact name *If applicable

Referrers Email

What services are yor interested in?

Health Services

Social Services

Nurse Practitioner

Outreach nurse / Immunisations

WellChild/ Tamariki Ora

Dietitian

Pharmacist

Mental Health Support - Ola Manuia

Whānau Ora

Whānau Resilience

Work and Income

Pa Metua Group

Matua Group

Drive My Life

Unsure

Other

What else do you want us to know (Please include any additional informaiton your would like to proivde with this referral)

For additional information, feel free to get in touch with us here.

135 Bowmont Street, Appleby, Invercargill

Opening hours: 8.30am to 4.00pm,

Monday to Friday

Phone: 03 214 6089
Email: reception@piact.org.nz

Contact us

First name*

Last name

Email*

Write a message

Opening hours: 8.30am to 4.00pm, Monday to Friday

Phone: 03 214 6089
Email: reception@piact.org.nz

Facebook

bottom of page