Skip to main content

Contact

While we do get outside referrals from GPs & health professionals around the country (even the justice system) you do not need one to enroll yourself in one of our treatment programmes.

Make your first step on the road to recovery by filling out the self-referral form below:

+64

Enter your contact phone number using this format: [city code] [phone number] for landlines (eg., 9 9231456) and [city code] [cel prefix] [phone number] for mobiles (e.g., 9 21 9231456)

If you took the Drug and/or Alcohol Self Assessment tests, please indicate which one or both.

Enter your test score/rating if you have taken the Drug and/or Alcohol test.

Type the characters you see in this picture. (verify using audio)
Type the characters you see in the picture above; if you can't read them, submit the form and a new image will be generated. Not case sensitive.

You are not alone

Change begins with you

In crisis? Need to Talk? Call the Alcohol Drug Helpline on 0800 787 797