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Helpline 0800 650 659 continence nz

Get your Toilet Card

Finding a toilet when out and about can be a challenge for people with bladder or bowel problems. It could even discourage some people from going out altogether.

Our toilet card clearly states that the holder has a medical condition and needs to use a toilet quickly. Most places you visit will be willing to help you.

Apply for your card now. The information collected here is confidential and will be used for statistical purposes only.

Please note: The Toilet Card is for New Zealand residents only.

*First Name:

*Last Name:

*Date of Birth:

*Street Address:




*Phone Number:

*Email Address:

Male or Female:

  • Male
  • Female
Bladder Problems:
  • Urinary leakage
  • Leak on cough/sneeze/laughing
  • Sudden need to empty bladder
  • Pass urine more than 8 times a day
  • Leaking on the way to toilet
  • Passing urine more than twice a night
  • Difficulties in passing urine
  • Intermittently self-catheterising
  • Indwelling Catheter
Bowel Problems:
  • Accidental Leakage from the bowel
  • Constipation
  • Diarrhoea
  • Urgent need to empty bowel
Illness or Condition:
  • Cancer
  • Dementia
  • Diabetes
  • Multiple Sclerosis
  • Parkinsons Disease
  • Prostate Problems
  • Spinal Injury
  • Stroke
  • Stoma
  • Crohn's Disease
  • Coeliac Disease
  • Diverticular Disease
  • Ulcerative Colitis
  • Other