Connect With Us – Connected Minds

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Connect With Us

Connect With Us

For General Enquiries

Please contact us on info@connectedminds.co.nz

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Location

Connected Minds is based in Warkworth, with both telehealth and in-person appointments available.

In-Person Locations

Orewa Clinic
Big Little Worlds
Top Floor, 201/7 Tamariki Avenue
Orewa

Warkworth Clinic
Bertram House
21 Bertram Street
Warkworth

Telehealth (Online Appointments)

Appointments are available via secure video consultation across New Zealand.

Hours

Tuesdays 1:00pm-5:00pm
Wednesdays 8:00am – 5:00pm
Saturdays 9am -12noon
(by appointment only)

Self-Referral Form

Full Name

Preferred Name

Date of birth (or child’s DOB if enquiring for a child)

Are you enquiring for

Myself (adult) My child / young person Someone else (please specify)

If for a child/young person: Child/Young person’s full name

Relationship to the child/young person

Best contact phone number

Email address

Preferred contact method

Phone Email Text

Your suburb/town

What are you hoping we can help with? (Choose all that apply)

Preferred appointment type

Telehealth In person Either Not sure

Who is your GP (name + practice + contact details)? (optional but helpful)

Briefly describe the main concerns

How long have these concerns been present?

How is this impacting daily life (home/school/work/relationships)?

Please outline any current or past physical health conditions, diagnoses, or medical concerns. Please also list any current medications (including prescribed, over-the-counter, supplements, or herbal remedies), including dosage if known.

Any current supports involved? (GP, counsellor, school, CAMHS, etc.)

Are there urgent safety concerns right now?

No Yes (Please do not use this form. Call 111 or contact your local Crisis Mental Health Service / Te Whatu Ora)

In the past 2 weeks, have there been: (tick any that apply)

Thoughts of self-harm or suicide Self-harm behaviours Aggression/violence concerns Severe deterioration / not coping None of the above

If you tick any of these, please provide brief details and current supports in place.

Do you have any accessibility, communication, or sensory needs we should know about?

Anything else you’d like to add?

Consent to contact

I consent to Connected Minds contacting me using the details provided.

Connected Minds will use the information you submit to respond to your enquiry and determine whether our service is a suitable fit. Your information is handled in line with the Privacy Act 2020 and the Health Information Privacy Code. Please do not include highly sensitive details you are not comfortable sharing online.

Location

Connected Minds is based in Warkworth, with both telehealth and in-person appointments available.

Telehealth (Online Appointments)
Appointments are available via secure video consultation across New Zealand.

In-Person Locations

Orewa Clinic
Big Little Worlds
Top Floor, 201/7 Tamariki Avenue
Orewa

Warkworth Clinic
Bertram House
21 Bertram Street
Warkworth

Hours

Tuesdays 1:00pm-5:00pm
Wednesdays 8:00am – 5:00pm
Saturdays 9:00am -12:00pm
By appointment only

Contact

Preferred communication is by email
Please contact us at:
info@connectedminds.co.nz

Follow us on Facebook and Instagram @connectedminds.co.nz

We are not a crisis service. If there is immediate risk, call 111 or your local crisis team.