Enquiry Form

Refer a client

We require all counsellors, social workers, GPs, teachers, and other professionals, to complete a referral form on behalf of their client. Please download the appropriate form and send through to support@wellingtonhelp.org.nz.

If you are not in a position or on a device to download a form at that moment, please complete the short form below and we will send one through to you via email.

Request a HELP referral form

My client is

24/7 Crisis Support Line

04 801 6655 & push 0 at the menu

Copyright Wellington Sexual Abuse Help Foundation 2019

Registered Charity: CC26255

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