Refer a patient to our expert orthotics or amputee services team; we provide support, rehabilitation, products and care across New Zealand.

 

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Referral Form


Peke Waihanga Amputee Referral Form Preview

Use this form to refer an amputee to Peke Waihanga - Artificial Limb Service.


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Referral Form


Peke Waihanga Orthotic Referral Form Preview

Use this form to refer a patient to Peke Waihanga - Orthotic Service.


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Order Form


NZALS Amputee Stump Shrinker Form Preview

Use this form to order a stump shrinker for a Below or Above Knee amputee.


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