Maori cloak made from feathers

Get Started (Referral Form)

Before You Begin

Our therapy services are ACC‑funded Sensitive Claims Services (sexual harm). If you’re unsure whether you may be eligible, you can read more on our Do I Qualify? page. Your therapist will also support you to determine eligibility during your first session.

We are not an acute mental health service.

If you are in immediate danger or need urgent support, please contact your local Mental Health Emergency Team or dial 111.

Safe to Talk is also available 24/7 for immediate support. They can also help you find a therapy provider. The provider‑finding service operates Monday to Friday, 8am–8pm, and Saturdays, 10am–6:30pm. This service is closed on Sundays and public holidays.

You can contact Safe to Talk in any of the following ways:

By filling out this form, your information will be populated into our managed waitlist. Our waitlist varies depending on the area you live in. In some areas this may be up to 4 – 6  months. Please refer to the banner on our home page to see current wait times.

If you’re comfortable with this, please complete the form below.

Submit a Referral

Your Details

Full Name is required
Email is required
Is it safe for us to contact you using this method? is required

Cultural Identity & Preferences

Ethnicity / Cultural Identity is required
Do you have a gender preference for your therapist? is required

Your Connection to ACC

Have you previously engaged with ACC for a Sensitive Claim? is required

What You're Seeking Support For

Safety Acknowledgement

Hiwa Navigation is not an acute mental health service, and this referral form is not monitored for safety or urgent needs. We are unable to respond to crisis situations or contact you if you are unsafe.

If you are feeling distressed, unsafe, or need immediate support, please contact your local Mental Health Emergency Team or dial 111.

You can also access 24/7 confidential support through Safe to Talk:

Please confirm you have read and understand this. is required

Session Preferences

Are you open to telehealth sessions (video or phone)? is required

Referrer Information

Are you completing this form for someone else? is required

Privacy

By submitting this form, you agree to Hiwa Navigation holding your information securely for the purpose of linking you to a Sensitive Claims therapist.

You can read our full privacy statement here

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.

Do I Qualify?

How Can Hiwa Help Me?