Referral Form

Download
RISE Client Referral Form in MS Word
If you want to refer a client to RISE, please download and fill out this form. Print and email it to admin@rise.net.nz.
RISE External referral form 01JUL21.doc
Microsoft Word Document 149.0 KB
Download
RISE Client Referral Form in PDF
If you want to refer a client to RISE, please download and fill out this form. Print and email it to admin@rise.net.nz.
RISE External referral form 01JUL21.pdf
Adobe Acrobat Document 277.3 KB

RISE delivers services into Nelson, Motueka, Golden Bay, Marlborough, Kaikoura, and the West Coast.
Please contact our Nelson office for information.

Nelson Office

Level 3, 295 Trafalgar Street

Phone: 03 548 3850

Txt: 027 548 3850

admin@rise.net.nz

Motueka Office

15b Courtney Street

(site of Jack Inglis Care Home)

Phone: 03 528 8976