top of page

Referral Form

Please fill out the following form if you are a healthcare provider / practitioner or therapist referring a patient.

Patients Date of birth
Does this patient require treatment:
less than 1 week (acute)
2-3 weeks (sub-acute-chronic)
Which therapy are you wanting to refer for:
Osteopathy
Acupuncture
Pain Specialist
Baby Sleep Consultant
Massage Therapy
Clinical Lymphatic Drainage

Phone:

Queenstown

027 228 8683

 

Wanaka

027 558 8683

Hours:

Queenstown:

Mon - Fri: 8am - 7pm

Sun: 10am - 6pm 

​

Wanaka:

Mon - Fri​​: 8am - 7pm

Queenstown Location:

​

18 McBride Street, Frankton 9300

Wanaka Location:

 

33 Reece Crescent

Wanaka 9305

Metamed and Peak Potential are now part of Laryn Allied Health.

  • Black Facebook Icon
  • Instagram

Contact Us:

Thanks for submitting!

© 2023 by Krisp as Design

bottom of page