Self-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

You can refer yourself or somebody else. To self-refer now: 

  • Fill in the online referral form below

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

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

Your Self-Referral Contact Information

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Demographic Information

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If you are 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 we will try to make contact within 3 working days.

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