North Shore (09) 486 8900
Waitakere (09) 839 0000

Smoking Referral Form

Our Smokefree Service accepts both self-referrals and referrals from healthcare professionals.

Once you complete the form, our Smokefree Triage Service – a one-stop-shop for all smoking cessation referrals in the Waitematā district – will contact you.

We work in partnership with community quit smoking services across the district to ensure people are offered multiple free, convenient and culturally appropriate options for ongoing support.

Referrer's Details

Disclaimer:

If you are referring somebody else to the programme, please ensure that you have consent from the person you are referring.

Our dedicated referral coordinators will send an acknowledgement on receipt of a referral and will endeavour to make contact with the person within 3 working days.

We offer a range of free evidence-based 12-week programmes to ensure the client can choose the right support for their needs.