REFERRAL FORM

If you wish to receive a paper copy, or need more information before filling in this form please email info@smt.nz or look at the website for more details.

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Parents, whānau or individuals - If you would like to refer a person or yourself, you are welcome to complete the referral form below. Once the form is received, you will be added onto our waitlist and the referral team will be notified, please allow up to 7 business days for a reply.

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Agencies, schools or organisations - If you are referring an individual client, please complete the referral form below (this includes ACC referrals or other). If you are enquiring about music therapy within the community or seeking more information, please email info@smt.nz with the details. 

Please note that as an example of prices below:

Initial sessions start from $160+gst (one off cost for new clients)

Individual sessions start from $100+gst per session

Group sessions start from $350+gst per term

Once the referral from has been received and processed, you will be added to our waitlist and we will be in touch with possible times for the initial session, our Health and Safety Policy, our Cancellation Policy and our Term Dates. We may also be in touch to discuss the referral and possible schedule further, this will be over email and or phone, so please fill in these details with as much detail as you can. This referral form can be completed by yourself, it does not need to be filled in by a medical professional.