Need help now?
If you are in immediate danger dial ✆111.
If you are not in immediate danger, but need help or advice, call ✆0800 28 48 26 to speak to one of our team.
Referral Forms
You do not need to fill out a referral form to access support. Call ✆0800 28 48 26 for support.
If you work with children or families in Canterbury and would like to refer someone to Aviva, please email the appropriate, completed form to referral@aviva.org.nz.
- Referral form for people experiencing violence [word 103 KB]
- Sexual assault support referral form [word 136 KB]
- Tamariki referral form [word 102 KB]
- Rangatahi/youth referral form [word 105 KB]
- ReachOut referral form - for people using, or at risk of using violence [word 105 KB]
- Seuga referral form - for Pasifika people [word 64 KB]
- Whānau Resilience referral form [word 97 KB]
Contact Us
- Call us on ✆0800 28 48 26 or ✆(03) 378 3847 - 24 hours a day, seven days a week, for people in Canterbury
- Email ✉enquiries@aviva.org.nz (this inbox is checked Monday-Friday, 9-5)
- If you are a social service or other referring agency, please complete a referral form and forward to Aviva by email