The ACFB Fund

The ACFB Fund Logo

ACFB Psychological Assessment Application Form

Please read this application carefully and respond to all of the required questions (marked with a *)

Note that all of the information about the three step assessment process we follow and all of the pricing options for these steps can be found on this page – https://acfbfund.org.nz/psych-assessments/. Please note that the pre-screening step is a necessary part of all of our assessments as we use it to gather much of the information necessary to build the report.

We strongly encourage you to read this information before you apply so that the selections are appropriate for your needs.

Please enable JavaScript in your browser to complete this form.
Applicant's Name
Applicant's Email
Applicant's Date of Birth
Gender
Location
Ethnicity
Parent, Guardian, or Support Worker's Name
*If applicable - This is not required for clients 18 years+ but can be supplied for anyone
Parent, Guardian, or Support Worker's Email
Are you currently in crisis or experiencing thoughts of suicide with the intent to harm yourself?
Based on your answers above, please choose the Diagnostic Pre-screening (Step 2) option you prefer:
Please note: if you select a Brief Prescreening, you will not be able to progress to any further steps. This is not a diagnosis, this is merely a screen and report of findings. To get an official diagnosis, please choose Standard or Enhanced Pre-Screening.

Thanks to our Sponsors!

Google
HawkesBayFoundation
TFlogo_RGB_Leftalign_navy

About Us

A Change For Better (ACFB) is a web-based platform for members of the public and mental health professionals alike. ACFB is a safe place to learn, interact, and gain support. 

Recognizing that significant change can take time, ACFB provides members with tools and support to achieve sustainable change in their lives.

The ACFB Fund was born out of the idea that with power of community, we can create a self-sustainable means for those who need mental health support and psychological assessments. Funded by ACFB and private donations and assessment fees, the ACFB Fund hopes to grow to help as many Kiwis as possible.

Quick Links

Menu

Charity Details

The ACFB Fund Favicon

A Change For Better – The ACFB Fund is a registered charity with Charities Services NZ

Charity Number: CC61221

If you are looking for autism related funding through NASC/ Whaikaha then this is not the assessment for you at this time.

Whaikaha have changed their minds after years of accepting telehealth diagnoses and have said our diagnoses no longer meet their long list of strict criteria. We will be providing support to those who already received a diagnosis with us but are not sure about going forward if we will continue the higher requirements now set forth by Whaikaha. 

In the meantime, we are advocating to anyone and everyone who might be able to help us and would love your support as well. Please make a complaint. You can find more information on the Whaikaha website here.

Cancel Application

The ACFB Fund is not a crisis counselling centre, and we cannot provide emergency services for active or prospective clients.

If you’re in a life-threatening situation or experiencing a mental health emergency, this service is not appropriate for you at this time. Instead, use the following helplines to get the support you need:

  • Lifeline New Zealand: 0800 543 354 (call or text)
  • Suicide Crisis Helpline: 0508 828 865 (0508 TAUTOKO)
  • 1737 – Need to Talk?: Free call or text 1737 to speak with a trained counsellor (available 24/7)
  • Healthline: 0800 611 116 (available 24/7)

These contacts are available for immediate crisis support and can help connect you to further assistance.

Confirm

Thank You

The ACFB Fund Favicon

Thank you for submitting your application to The ACFB Fund.

Our team will review your application and be in touch with you soon.

To access some of our free resources then please take a look at our Wellness Info