Referral forms

If you’re looking for social services support for someone you know, or for yourself, Presbyterian Support would love to help. Simply complete one of the referral forms below and the right person will be in touch.

Presbyterian Support Upper South Island provides services from Mid Canterbury and the West Coast right up to the Top of the South.

Please provide as much detail as possible in the referral forms. This helps us to match you with the right support for you and your whānau.

Check out our range of services and the regions they operate through our 'what we do' menu.

Family Works referral form

Family Works is our service group supporting children, young people and families/whānau.

Choose an option below to complete a referral or find out about other Family Works services.

If you would prefer an editable Word Doc to email your referral click here (you can find the email address for your relevant location here).

Online Family Works referral form

See our services

Enliven referral form

Our Enliven positive aging services support older people and their families/whānau.

Choose an option below to complete a referral or find out about other Enliven services.

If you would prefer an editable Word Doc to email your referral click here (you can find the email address on the document).

Online Enliven referral form

See our services

Āwhina Mai referral form

We also pleased to confirm that we now offer fee-paying therapy services through our social enterprise, Āwhina Mai Wellbeing Services.

Choose an option below to complete a referral or find out more about Āwhina Mai.

Online Āwhina Mai referral form

Āwhina Mai wellbeing services