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 [email protected].
- Referral form for people experiencing violence
- Sexual assault support referral form
- Tamariki referral form
- Rangatahi/youth referral form
- ReachOut referral form - for people using, or at risk of using violence
- Seuga referral form - for Pasifika people
- Whānau Resilience referral form
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 ✉[email protected] (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