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Contact us

For our professional services, please let us know how we can help by completing the referral form below.

For general enquiries

office@indigo.org.nz

(09) 444 6859

Privacy Policy

Referral form for professional services

Name of Child or Adult Client *

First

Last

Residential Address (this is to help us arrange in-home services)

Date of Birth *

School Name (if applicable)

School Year Level (if applicable)

Reason(s) for Referral

Name of Person Making the Referral (if on behalf of a child)

First

Last

Relationship to Child (if applicable)

Telephone (mobile preferred) *

Email *

I am interested in:

Assessment
Assessment in My Home
Coaching & Counselling
Cool Kids Anxiety Programmes
Career/Vocational Counselling
Not sure

Preferred Location(s)

Orewa (Office)
Helensville (Office)
Rosedale, North Shore (Office)
Waiake, East Coast Bays (Office)
Howick (Office)
Flat Bush (Office)
In-home
Cambridge (Office)
Queenstown

How did you hear about us?

School
Friend
Other

Please tell us if you have a preference for the psychologist or days, dates and times