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Submit an online referral form

Are you ready to make an online referral?

We accept online referrals from community mental health providers, GPs, Work and Income, and other support service providers and agencies, as long as there is prior agreement with the Workwise team.

Fill out the online referral form below and click “submit” for it to be emailed directly to the employment consultant / kairapu tūranga mahi in your area.

If you are completing this form on behalf of someone else, please make sure that you only share information that you have permission to share.

If you prefer to download and fill out an editable PDF referral form, please follow this link.

If you intended to make a referral enquiry instead, please use the form on this referral enquiry page.


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