Referral Form for Health Organisations
Is your patient eligible for Dove House services?
They must have a diagnosis of illness that is life threatening.
They do not need to have a terminal diagnosis.
They may be having curative treatment for their illness.(eg. surgery, chemotherapy, radiotherapy) and need support through this time.
Please complete the below form to refer your patient.
If you are a patient - please click here
All services are free of charge
If you wish to speak to someone regarding accessing the service, please call 09 575 4555.