Your Way | Kia Roha provides disability support services to eligible people living within New Zealand. If you wish to access our services yourself (or for your child), please complete this Referral Form. There are seven sections.
If completing for a child, include their information as if they were completing the 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:
- Your GP / medical specialist to complete the Confirmation of Disability form which can be downloaded here Make a referral – Your Way | Kia Roha (yourwaykiaroha.nz)
- Any specialist reports (such as intellectual disability, or Autism Spectrum Disorder)