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Appointment

Request a counselling appointment

This form is for self-referrals.  If you are wanting to request a counselling appointment for yourself or a loved one – you’ve come to the right place.

 

If you are a Healthcare Professional wanting to make a referral for your client, please submit a Referral Form. Go to the Healthcare Professionals page for more information.

 

This Request-an-appointment form takes an approximately 10 mins to complete, so get comfortable. The good news is that there is an option to save and return later.

 

If you select the ‘Save Your Progress’ button you will be presented a security code on screen that you will need to re-enter when you want to continue with completing the form. 

Is it OK to say who we are when leaving a message?*
Date of Birth*
Do you feel concerned for your safety or the safety of your child/children or someone else? *

IMPORTANT: Wingspan is not a crisis center and our office opening hours vary. If anyone is in immediate danger call 111 and ask for Police. They will arrange protection and support.

If you’re in danger but it’s not safe for you to speak: Stay silent, call 111 then push 55. You will be put through to Police automatically. Listen carefully to the questions and instructions from the call taker so they can assess your call and arrange assistance for you.

For Suicide Crisis Helpline: 0508 828 865 (0508 TAUTOKO).

For Youthline: 0800 376 633, Text 234 or email talk@youthline.co.nz

Are you comfortable with seeing a Counsellor in Training?*
Our Counsellors in Training are carefully selected and dedicated to providing their clients with counselling support.
Any Location - Appointment Times
Central Auckland - Appointment Times
North Shore - Appointment Times
What time of day do you prefer?*
Please enter 'None' if you were not referred.

Voluntary Contribution Guidelines*

Wingspan Trust is a charitable organisation that relies on funding, donations, and voluntary contributions to provide professional counselling services to Tāmaki Makaurau.  

 

In order for everyone to receive counselling, we offer a range of price options to cater to all financial situations. Please note, all voluntary contributions are negotiable.

Not sure what to pay? Check our suggested contribution rates according to income below:

Please note these are suggestions only, your financial means may vary.

 

Household income Individual session Couple session Family session
$10,000 - $20,000 per year ($190 - $385 per week)  $40 $45 $50
$30,000 - $40,000 per year ($575 - $770 per week)  $80 $85 $90
$50,000 - $60,000 per year ($960 - $1,150 per week)  $120 $125 $130
More than $60,000 per year ($1,150+ per week) $140 $160 $180

Consent:

Wingspan Counselling is interested in measuring whether changes established during counselling sessions have been sustained. We also value the opportunity to speak with clients about their experience of counselling. Would you be happy for us to contact you 6 months after the completion of counselling?

Agree Consent*
Add Record

Consent

Wingspan Counselling is interested in measuring whether changes established during counselling sessions have been sustained. We also value the opportunity to speak with clients about their experience of counselling. Would you be happy for us to contact you 6 months after the completion of counselling?

Agree Consent*
Add Record
Add Record
Are all parents / caregivers aware of this referral being made for the child/children?*

Consent

Wingspan Counselling is interested in measuring whether changes established during counselling sessions have been sustained. We also value the opportunity to speak with clients about their experience of counselling. Would you be happy for us to contact you 6 months after the completion of counselling?

Agree Consent*
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