Contact us

We can't wait to hear from you!

Whether you want to chat about an insulin pump, make an appointment, partner with us on a project or just have a simple question, feel free to contact us!

Let's kōrerō

Phone: 07 834 0189
Email: Kiaora@aotearoadiabetescollective.org.nz
Referrals: Referral form | Referral email

Social Media: Instagram | Facebook

Send us a message!

Locations

Hamilton | Thames | Online NZ-wide

Main office: 170 Collingwood Street Hamilton Lake, Hamilton 3204

Parking

Patient parking out the back
Accessible parking at the front

Referral form

Please complete the form below. We don't require all of the information, however the more information you can provide us in the referral, the faster we can process it and organise an appointment.

Looking for the ACCESS AID pump study?

If you are looking for information on how to self-refer to the ACCESS AID insulin pump study, please visit the University of Otago website to learn more or email the study team access.aid@otago.ac.nz

Details

First & middle names

Last name

Date of birth

NHI (if known)

Gender (How you identify?)

Ethnicity (How do you identify?)

Email address

Phone number

Address

Name the General Practice you are registered with

Name of your usual doctor / nurse practitoner (At GP Practice)

Name + location of your usual pharmacy

Hospital diabetes team details (or leave blank)

Referral

Service

Preferred appointment type

Type of diabetes

How do you manage your diabetes? (Such as do you use an insulin pump, take medications etc.)

Referral message (reason for seeing us)

How did you hear about us

Please upload any relevant documents

Up to 3 image or document files (25MB limit per file)

Consent

Who is completing this form

Contact details of the person sending the referral (or leave blank)

I consent to this information being added to the ADC patient management system system (Elixir)

I consent to ADC contacting my usual healthcare team to get request relevant health information

Address

Thank you, we will be in touch soon! If you want to talk to us sooner you can call us on 0800 439 232

Donate to ADC

Do you want to support the mahi we do at Aotearoa Diabetes Collective? Donate today!

Donate

Subscribe to updates

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Follow us on socials

Follow ADC on socials to get more regular diabetes updates and educational content.
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