Welcome to our new name and new site!
0800 008 011
Connections & Funding | To Hononga me te Pūtea

Make a Referral

Refer yourself or someone else and we’ll connect you with the right support and resources so you or your whānau can live well. 

If you, or the person you’re referring is eligible for support from Connections & Funding please complete the referral form below (previously called a “Needs Assessment” or “NASC” referral). 

If this is your first time working with us, you will also need to ask your doctor or specialist to complete the Confirmation of Disability form.

Download: 

Once completed email your form/s to [email protected]

You can also email any questions to [email protected] or call us on 0800 758 700 between 8.30am and 4.00pm weekdays.    

Who can fill in the form? 

You can apply yourself or we can accept referrals on your behalf from any if the following people:

  • a whānau / family member
  • a friend
  • a carer
  • a disability support organisation
  • a doctor or health professional.

Anyone making a referral must have the permission of the person referred. Parents or caregivers can refer children and young people aged under 18. 

To check if you’re eligible for our service go to who we support.

Phone 0800 758 700

What happens next? 

We will check that you are eligible and be in touch within five working days to set up a time to meet. If you’re not eligible for our service, we will help direct you to another service or provide advice on the next step.

If you’re eligible, a Community Facilitator will work with you to develop a Living Well Plan that identifies what it means for you to live well – what supports or equipment you may need, and what you want to do to achieve your goals. These goals may be large or small. 

A Living Well Plan is led by you, at the place you want to meet and with any support (family / whānau, friend, advocate or caregiver) you choose. Let us know if you would like us to organise cultural support or interpreter services, including a NZSL interpreter.

Our team will then connect you to organisations, groups, or people who can help make your Living Well Plan a reality.

If you have an urgent need, we will work to address that first.