REFERRAL FORMS (CLINICAL PROFESSIONALS ONLY)
If you are a Counsellor, Social Worker, Psychotherapist, Clinical Psychologist or another helping professional you can call SAFE on 09 377 98 98 and ask to speak with one of our Clinical Team Leaders to arrange next steps for your client, including ascertaining whether your client is eligible for community funded or self funded treatment.
It is important for you to note that, where CYFS does not know about the referral to SAFE, and the person concerned has committed sexually harmful behavior toward a child still aged less than 17 years old or is still in contact with young children, SAFE will usually want CYFS to be involved to check that the children are safe. If this occurs we are committed to working with you, the person/s involved, and CYFS to ensure that the safest outcome is reached for all concerned.
To download a referral for our Tane/Wahine/Adult (inclusive of Te Kakano (Maori) Amanaki Pasifika (Pacific Island), ID and Internet Offender) service, or a fact sheet please click here:
Tane/Wahine (Adult) Referral Form (PDF)
Tane/Wahine (Adult) Referral Form (Word)
Tane/Wahine (Adult) Fact Sheet
To download a referral for our youth (inclusive of Te Kakano and Amanaki Pasifika) service please click here:
Rangatahi (Youth) Referral (PDF)
Rangatahi (Youth) Referral (Word)
To download a referral for our Pounamu (Sapphire) Wahine (Woman/Girl) service please click here:
To download a referral for our early intervention (childrens) service please click here:
Early Intervention (Tamariki/Children) Referral (Word)
Early Intervention (Tamariki/Children) Referral (PDF)
Early Intervention (Tamariki/Children) Fact Sheet
It is important that as much supporting information as possible is included with your referral.
PLEASE NOTE: No referral will be processed unless it is signed. Treatment can not be commenced until a completed and signed referral is received.
If you are unsure about how to move forward in helping or working with your client you can consider requesting a professional supervision session with a Senior SAFE clinician to work through your next steps and assist you in working with your clients specific needs.
