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Are you looking for support to return to work in Auckland, Waikato, Hauraki, Rotorua, Taranaki, Wellington or Christchurch? Fill in the form below and we will be in touch. Our funding structure means there is sometimes criteria to access our services – but if we are unable to assist you because of this we may be able to suggest other possibilities. 

Workwise also accepts referrals from community mental health providers, GPs, Work and Income, and other support service providers and agencies. To make an enquiry yourself, or make an enquiry on someone’s behalf, please fill in the online form below or download the printable version here.

You can email the form to us at info@workwise.org.nz or send it to us by post.

For further information, just get in touch

Client details

 
       
       


                   
 
 
   

Health / benefit details

 



 

 

 
 
 
 
Work & Income case manager details  
 
 
 
 
   
I (the client), * give consent for any referring agency and Workwise to share information about me. I understand that information will only be given to workers of these two agencies who obey the code of confidentiality of the agencies that they represent. I understand that participation in this initiative is voluntary and that I can withdraw my consent and participation at any time.
 
   
   
   

Referral agency to complete

Please complete if you are a referring agency.
 
 
   
* Required fields