Please complete this form to refer yourself or a patient to the Support Services team at Leukaemia & Blood Cancer New Zealand. Once your form has been received a member of the Support Services team will be in touch with the person being referred.
“You can also download a hard copy to refer patients and/or family members to Leukaemia & Blood Cancer New Zealand. If you prefer to fill out the hard copy form, please scan and email the form to firstname.lastname@example.org or post to PO Box 99182, Newmarket, Auckland.”
For general enquiries please see our Contact Us page or call us toll free on 0800 15 10 15.