Get Started

Please fill out our referral form if you’re ready to start working with a therapist. Once it’s filled out, we’ll reach out to connect you with a therapist.

If you’d like to discuss a referral first, email us at referrals@hiwa-nav.com.

To view our privacy statement click here.

Submit a Referral

First name*

First name is required

Last name*

Last name is required

What is your date of birth?

If you are under 16 years - Name of Guardian or Parent

Email*

Email is required

What is your phone number?

What is your address?

What is your preferred method of contact?

What ethnic group do you belong to? (please tick all which apply).*

New Zealand European
Māori
Samoan
Cook Island Māori
Tongan
Niuean
Chinese
Indian
Other

What ethnic group do you belong to? (please tick all which apply). is required

What is your gender (and any other pronouns)

What is your gender preference for a counsellor?

What is your referring organisation?

The Process

Hiwa Navigation is committed to supporting individuals who have experienced sexual abuse or sexual assault in Aotearoa/New Zealand. We recognise that seeking help can be a significant step, and we are here to guide you through the process. Through our therapeutic services, we strive to empower you on your journey toward healing and well-being.

Submit a Referral

The Process

Do I Qualify?

How Can Hiwa Help Me?