Mosaic-Tiaki Tangata
​0800 94 22 94 - Call 11 AM - 8 PM, 7 Days
Contact MOSAIC-Tiaki Tangata
MOSAIC-Tiaki Tangata
  • Mosaic-Tiaki Tangata
  • About
    • Our Mission, Vision & Values
    • Our Staff
    • Our Clinical Advisory Board
    • Our Board
    • Mosaic's ACC Accreditation
    • Who We Work With
    • What is Peer Support?
    • Client Testimonials
    • Online Feedback Form
    • Complaints Process
    • Our Funders & Sponsors
  • Services
    • Services Overview
    • Counselling
    • Anxiety Sorted
    • Peer Support Group Meetings
    • One-to-One Peer Support
    • What To Expect At Your First Appointment
    • Instant Booking Form
    • Confidential Listening Service
    • Family & Partner Support Meetings
    • Clinical & Agency Referrals
    • Tell Us Your Story
  • Rainbow Community
    • Rainbow Services Overview
    • Instant Booking Form
    • What is Sexual Abuse?
    • Will This Service Be Right for Me?
    • What Questions Can I Ask A Counsellor?
    • Frequently Asked Questions
    • Rainbow Takatāpui Resources
  • Resources
    • Do You Require Urgent Assistance?
    • Living Well App
    • Tell Us Your Story
    • Kiwi Survivor Stories
    • Male Sexual Abuse in New Zealand
    • Facts VS. Myths
    • 17 Reasons Why Male Sexual Abuse Is Under-Reported
    • Have I Been Sexually Abused?
    • Ailish's Page
    • Families & Partners of Survivors
    • Quotes for Survivors
    • Recommended Websites
    • Mosaic Posters
    • Academic Research
  • Symposium 2020
    • Symposium - Review
    • Symposium - Testimonials
  • Media
    • Our Videos
    • Video
    • Audio
    • Articles
  • Get Involved
    • Donate
    • Tell Us Your Story
    • Ways You Can Help Us
    • Current Vacancies
  • Contact Us
  • Mosaic-Tiaki Tangata
  • About
    • Our Mission, Vision & Values
    • Our Staff
    • Our Clinical Advisory Board
    • Our Board
    • Mosaic's ACC Accreditation
    • Who We Work With
    • What is Peer Support?
    • Client Testimonials
    • Online Feedback Form
    • Complaints Process
    • Our Funders & Sponsors
  • Services
    • Services Overview
    • Counselling
    • Anxiety Sorted
    • Peer Support Group Meetings
    • One-to-One Peer Support
    • What To Expect At Your First Appointment
    • Instant Booking Form
    • Confidential Listening Service
    • Family & Partner Support Meetings
    • Clinical & Agency Referrals
    • Tell Us Your Story
  • Rainbow Community
    • Rainbow Services Overview
    • Instant Booking Form
    • What is Sexual Abuse?
    • Will This Service Be Right for Me?
    • What Questions Can I Ask A Counsellor?
    • Frequently Asked Questions
    • Rainbow Takatāpui Resources
  • Resources
    • Do You Require Urgent Assistance?
    • Living Well App
    • Tell Us Your Story
    • Kiwi Survivor Stories
    • Male Sexual Abuse in New Zealand
    • Facts VS. Myths
    • 17 Reasons Why Male Sexual Abuse Is Under-Reported
    • Have I Been Sexually Abused?
    • Ailish's Page
    • Families & Partners of Survivors
    • Quotes for Survivors
    • Recommended Websites
    • Mosaic Posters
    • Academic Research
  • Symposium 2020
    • Symposium - Review
    • Symposium - Testimonials
  • Media
    • Our Videos
    • Video
    • Audio
    • Articles
  • Get Involved
    • Donate
    • Tell Us Your Story
    • Ways You Can Help Us
    • Current Vacancies
  • Contact Us
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Clinical & Agency Referrals

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Clinical & Agency Referrals

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If you're a clinician, counsellor, work for a social service agency, or work in any profession that brings you into a direct, support-based relationship with a male survivor of sexual abuse - you may want to get in touch with us at Mosaic-Tiaki Tangata.

Any survivor can refer themselves to us directly. As someone who is working to support a male survivor of sexual abuse in a professional capacity, you may want to refer that person to us directly, on their behalf. Of course, you will need that person's full consent to do so.
How Clinical & Agency Referrals Work
You can refer someone to us formally in two ways:
  • Download our Referral Form here. It's a PDF, so you'll need to print it out, scan it and email it back to us. You can also fax it to us on: 04 389 5050. Either that, or post it to us at: 
    Mosaic-Tiaki Tangata,
    PO Box 7682,
    Newtown,
    Wellington 6021
  • Or, with your client handy, fill in our Instant Referral Form below. This reaches us straight away. We will then get back in touch with your client directly.

    Mosaic-Tiaki Tangata's Instant Referral Form

    Please fill in all sections below, and then push the 'Submit' button.
    Referral Details
    Contact Details of Person Being Referred
    Diversity Indicators
    To ensure we are able to continue to fully meet the needs of a diverse group, it is important we are able to collect demographic information.
    Risk Indicator Information
    Clinical Information and Common Survivor Impact Indicators
    Referral Information
    Legal Pathway Information
    Please note: Mosaic-Tiaki Tangata believes that making a formal complaint to the Police is entirely the choice of the individual, and we do not encourage/discourage anyone from this procedure.
Submit
Contact MOSAIC Today

"Sometimes the only answer people are looking for when they ask for help is that they won't have to face the problem alone."

- Mark Amend
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website created by Cheeky Upstart. 2019