If you, or a family member, wish to access LifeLinks outcome planning and outcome coordination services, please complete the referral form below, or contact us for more information. PLEASE NOTE:Due to the increase in demand in the Canterbury and West Coast areas, we now have a waitlist for all incoming Referrals, Outcome Planning meetings and Outcome Coordination’s. We apologise for the delay this may cause in contacting you.
You can complete the referral form yourself or with your agreement any other person or organisation listed below can make the referral on your behalf.
If you wish to make a referral to our service, please complete the referral form online or complete a paper copy of the referral form and email to email@example.com or post to PO Box 2379 Christchurch 8140.
When you submit the referral form make sure you attach a letter from your doctor confirming your diagnosis.