Refer now

The service is for

  • Individuals and whānau who would benefit from brief therapeutic support focused on bereavement by suicide
  • Anyone bereaved by suicide at any stage in their life. Under 16 year olds will need a trusted adult to support them to participate.

Further information about the service can be found in the information sheets. 

Refer now

To refer yourself click here. To refer some one else: 

  • Fill in the online referral form below

  • or Email us at referrals@aoake-te-ra.org.nz

  • or Leave us a message on 0800 000 053 (please leave name and contact details)

Referral Information

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Bereaved Person's Contact Information

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Bereaved Person's Demographic Information

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If the referred person is aged under 16 years, please include name and contact details of legal guardians/parents/caregivers

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Key Information about the Bereavement

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Once referral is confirmed contact with the bereaved will be initiated within 3 working days.

If we have been unable to connect with the bereaved within a fortnight, we will get back to you and let you know.

All information collected by Aoake te Rā is confidential and for the purposes of providing the Services as outlined. For more detailed information please see our organisational Privacy Policy. 

If you are unable to fill in the referral form online it can be downloaded here and sent to referrals@aoake-te-ra.org.nz