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 [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 ✉[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