Referral enquiry for Health Professionals 

This form is specific for health professionals with general or specific enquiries. 

Please complete as much information as possible or request a personal call back from Pollin.

Please check that your email address and phone is correct before hitting 'SUBMIT'. 
We will not be able to contact you if incorrect contact details are provided.


NOTE:  For referrals, please get your patient to call in directly for an appointment and have your office email or post me a copy of your referral, including a brief history of the client and the reason for your referral. Please ensure that your contact details are clear so that Pollin can send you a report to keep on your patient's file. 


Nature of your enquiry (please write details in the box below)

Clinic address:

1 Airborne Road, Albany, Auckland 0632

Postal address: 

PO Box 79008, Royal Heights, Auckland 0656


021 566880