Connecting you with the care you need—simply and compassionately.
At Hospice Mid-Northland, we aim to make referrals seamless for patients, whānau and health professionals. Our Referral Process ensures timely access to palliative care, bereavement support and advance care planning services—completely free of charge.
Who Can Refer
Health Professionals: GPs, district nurses, specialists and allied-health clinicians can submit a referral on behalf of their patient.
Self-Referral: Individuals and whānau are welcome to refer themselves by contacting our Intake Team directly.
Referral Methods
Online Form
Complete our secure e-referral at hospicemn.org.nz/referral-form—available 24/7.
Phone
Call us on (09) 407 7799 and our Intake Coordinator will guide you through the questions.
In Person
Pick up or drop off a paper form at:
Hospice Mid-Northland Office, 464 Kerikeri Road, Kerikeri
Any Hospice Mid-Northland retail shop
Information to Provide
To help us deliver the right care plan, please include:
Patient’s full name, date of birth and contact details
Referrer’s name, role and contact information
Current diagnosis and prognosis (as known)
Key concerns (pain, symptoms, emotional needs)
Preferred location of care (home, rest home, day-therapy)
Any cultural, spiritual or language requirements
What Happens Next
Acknowledgement: We aim to confirm receipt of your referral within 24 hours.
Triage & Allocation: Our clinical team reviews each referral to determine urgency and service type.
Initial Assessment: A specialist nurse will contact the patient (or family) to arrange a home or facility visit—usually within 48 hours of triage.
Care Plan Development: Following assessment, we co-create a personalised plan outlining services, visit frequency and support contacts.
Confidentiality & Consent
All information you provide is treated as strictly confidential under New Zealand health privacy laws. We will seek informed consent from the patient or their authorised decision-maker before sharing details with other healthcare providers.
Questions?
If you’re unsure whether hospice is right for your patient or need help with the referral form, please reach out:
📞 Phone: (09) 407 7799
✉️ Email: hello@hospicemn.org.nz
“The referral felt effortless—our coordinator was kind, clear and quick to organise my mum’s first visit.”
— Dr. Aroha Rangi, GP, Kaikohe
Hospice Mid-Northland | Free, compassionate care for you and your whānau, every step of the way.