Your Way | Kia Roha provides disability support services to eligible people living within New Zealand. Please complete this form if you wish to refer someone to our Connections & Funding service e.g. a patient, someone you’re working with. Please note that you must have the person’s permission to make a referral on their behalf, or that of a parent / guardian if the child or young person referred is under 18 years old. There are eight sections.
Disabled people and parents of disabled children can refer using Your Way | Kia Roha Connections & Funding Self-referral Form.
If you need assistance with the form or have questions about our referral process, please contact our team on 0800 758 700 or email [email protected]
If it’s the first time we have received a referral from you, we will also need:
- The referred person’s GP / medical specialist to complete the Confirmation of Disability Form which can be downloaded here Make a referral – Your Way | Kia Roha (yourwaykiaroha.nz)
- Specialist reports if the person has an intellectual disability or Autism Spectrum Disorder.
