You can refer yourself to KFST services, or a professional/practitioner can refer on your behalf. You can include more than one child per referral. Please ensure to include all details for each Child.

Please provide all four details for each child you are referring.

Please tick all options that relate to the tamariki / child or to the parent / caregiver of the tamariki you are refering. The more details you provide us the better able we are to find you appropriate support.

Please check your contact details are correct below so that someone from KFST can contact you to discuss your referral

By clicking Submit below you consent to Kirikiriroa Family Services Trust receiving your information and contacting you. You will also be emailed a copy of your referral form.

Ngā mihi nui. Thank you for your patience and effort in making a referral.