School & Agency Referral Form

Submit a music therapy school referral in Wellington, Porirua, or the Kāpiti Coast for individual tamariki, small groups, or onsite open play-based sessions. At the Little Musical Caravan, we collaborate closely with SENCOs, Learning Support Coordinators (LSCs), educators, and community agencies to deliver strengths-based, neuroaffirming allied health support. Complete the form below, and our team will be in touch within 2–3 business days to discuss capacity, funding pathways, and scheduling.

Register School

Ready to Refer? How Our School & Agency Process Works

Before completing the referral below, we invite you to explore our website to learn more about our team, services, and operational policies:

  • Our Approach & Team: Visit our About page to learn more about our neuroaffirming philosophy, clinical framework, and our team page to view photos and profiles of our Registered Music Therapists (NZ RMThs).

  • Fees, Funding & FAQs: Check our FAQs page for 1:1 and group facilitation fees, as well as answers regarding scheduling, room setup, and health protocols.

If you are a parent or whānau member seeking individual music therapy or adaptive music lessons outside of a school contract, please use our Child & Whānau Registration Form.

(We will contact you via email in the first instance unless you indicate otherwise.)
Select all that apply
Select all that apply
Please note that in compliance with Music Therapy New Zealand's Code of Ethics, we do not generally work with participants who are already working with another music therapist. However, from time to time it may be possible to work in collaboration with another music therapist where the service provisions differ.
(What brings this child joy? Favourite songs, instruments, or ways of engaging?)
(e.g. regulation, communication, peer connection, sensory wellbeing, transition support)
(e.g. prefers quiet spaces, uses AAC, sensory preferences/sensitivities, mobility needs)
(e.g. social play, turn-taking, transition support, open musical exploration)
Please note that music therapy can only go ahead with caregiver permission.