Carer / Whānau Self Referral Form

Carer / Whānau Self Referral Form

If you are living with dementia, or you are concerned about someone close to you, you can submit a Carer/Whānau Self Referral Form below to our team. A Dementia New Zealand Network staff member will get in touch to discuss local community services and support available in your area.

If you’re a healthcare professional, you can submit a Professional Referral Form to refer a patient or client to our Dementia New Zealand Network for further information, advice and support.