Contact us General enquiries Let us know how we can help by completing the referral form below. office@indigo.org.nz (09) 444 6859 Privacy Policy Referral form Please enable JavaScript in your browser to complete this form.Name of Child or Adult Client *FirstLastResidential 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 ReferralName of Person Making the Referral (if on behalf of a child)FirstLastRelationship to Child (if applicable)Telephone (mobile preferred) *Email *I am interested in:AssessmentAssessment in My HomeCoaching & CounsellingCool Kids Anxiety ProgrammesCareer/Vocational CounsellingNot surePreferred Location(s)Orewa (Office)Rosedale, North Shore (Office)Waiake, East Coast Bays (Office)Howick (Office)Flat Bush (Office)In-homeCambridge (Office)QueenstownHow did you hear about us?SchoolFriendOtherPlease tell us if you have a preference for the psychologist or days, dates and timesSubmit
