Referrers

If you would like to discuss a patient you are welcome to call us and talk to a hand therapist.

Please explore our Resource Hub for articles and information that may be useful for you and your clients.

You can refer to us via phone, email, EDI, or submit the patient details in the form below and we will contact them to make an appointment. You will be emailed a copy of the referral for your records.

Thank you for your referral!

Referrals can be made via

ERMS EDI: mrvlcl
Email office@merivalehandclinic.co.nz
Phone: 03 355 0775 or Fax: 03 355 3895
The online referral form below

Referral form

"*" indicates required fields

* Required fields

Full name (of patient)*

First Last

Email address (of patient)

Phone (of patient)*

DOB (of patient)

Address

Street Address City Region ZIP / Postal Code

ACC claim number

Insurer

Date of injury

Referral details

Referred by*

Referrer email address*

Once submitted, a copy of this form will be sent to the referrer email address supplied.

Your personal information will only be used to service your enquiry. We will only contact you with relevant information. For further information view our full Privacy Policy.

Name

This field is for validation purposes and should be left unchanged.

Rehabilitation of the wrist and elbow

Our hand clinics

We have clinics in Merivale, Papanui, Moorhouse Ave, Halswell and Kaiapoi

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Referral form

Rehabilitation of the wrist and elbow

Our hand clinics

Merivale Hand Clinic

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