Contact Form

Making contact with Complex Chronic Illness Support Inc.

Thank you for contacting CCI Support.
If you are looking for support for yourself. We request that you complete a self referral form, or ask a friend or family member to help you complete it. This can be found here:

Initial Screen form for support from CCIS

For all other enquiries, please complete the form below and we will be in touch within office hours.
Tues to Fri 9 - 2.30

Please note, if you don't hear from us, please check your spam or if on gmail, promotion folders for our response.

Name *

First name

Last name

Area of New Zealand *

This helps us put you in contact with the CCIS Health and Wellness Facilitator for your area.

Email address

Phone

Preferred contact method

How can we help you today? *