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Referral to Rose Centre clinics

18 September 2024

The Rehabilitation Clinics at the Rose Centre accept referrals from individuals, GPs, and therapists for assessment and rehabilitation. Find out about getting referred to our Rose Centre clinics.

HOW TO APPLY

Rose Centre Clinics Referral Forms

For GPs, medical specialists and therapists

To make a referral, download and complete the Rehabilitation clinics appropriate referral form below and then e-mail, post it to us, or refer via ERMS.

Rose Clinic (Adult) Referral Form

Download (application/vnd.openxmlformats-officedocument.wordprocessingml.document, 238 KB)
Download

Rosebud Clinic (Child) referral form

Download (application/vnd.openxmlformats-officedocument.wordprocessingml.document, 279 KB)
Download

To refer a patient for an instrumental assessment, download and complete the Rehabilitation clinics appropriate instrumental assessment referral form below and then e-mail or post it to us.

Rose Clinics (Adults) instrumental swallowing assessment referral form (includes VFSS)

Download (application/vnd.openxmlformats-officedocument.wordprocessingml.document, 238 KB)
Download

Rosebud Clinic Videofluoroscopic Swallowing Study Referral Form

Download (application/vnd.openxmlformats-officedocument.wordprocessingml.document, 150 KB)
Download

You will receive an acknowledgement on receipt of the referral.

For patients

If you are a patient seeking treatment, contact us directly via phone or email.

Contact us

:rosecentreclinics@canterbury.ac.nz
:
سԹ Rose Centre 
Private Bag 4737 
249 Papanui Road 
Christchurch 8140 
New Zealand

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