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New Zealand Red Cross Refugee Trauma Recovery is not a crisis service. Please refer to an emergency service if there is immediate risk of self harm or harm to others. We offer counselling to people from a refugee background who present psychological symptoms as a result of having experienced or witnessed torture and/or traumatic events, prior to coming to New Zealand.

Please complete this form with as much information as possible. Fields marked with * are required fields.

Referrer details

Client details

Cultural information

Please tick the following observations (you do not need to ask any questions), or spontaneous disclosures:

For child/youth referrals only

Please note: If you would like a copy of this referral for your records, please print this page before sending.