Patient Referral Form

Please complete the form below to book a patient to see one of our Nurse Educators.

Once completed and submitted, a Nurse Educator will contact your patient to arrange the best time to see them.


(If booking a Spirometry Test, please see note at bottom of the page.)

Please note: If you refer yourself or are referred for a Spirometry Test at Asthma New Zealand, these tests are conducted only in Auckland for the time being.

If you live outside of Auckland, we are happy to refer you on to other health professionals in different regions who will then reach out to book an appointment with you. However, please note that they will be free to charge different prices for Spirometry Tests which may be more than from Asthma New Zealand.