General Referral Form
General referral form
Currently we require a physician referral for medical services. We respectfully ask that the referring physician forward all pertinent medical reports along with the referral form to help accelerate the referral process.
*Please note that a Pediatrician referral is required for the Feeding Clinic*
General Referral Form – (Word)
Augmentative Communication Services
Augmentative communication services
Referrals to Augmentative Communication Services (ACS) are accepted from parents, physicians, therapists, or community service providers with parent’s consent. For a detailed description of the program please click on the title in the menu on the right-hand side of the screen.
If your child has previously been seen in the Augmentative Communication Service for face to face communication or writing aids and their device is no longer meeting their basic communication needs at home, please fill out the corresponding re-referral form below.
Social ABC program offered through the Caregiver Mediated Model of the OAP, can be accessed by families who have been invited to the program through the OAP. Call 1-855-544-3400 ext 2078 for more information.
Urgent Response Service referrals can be made y families or service providers for children/youth who are registered with the OAP.
OAP-URS-Referral-Form – Fillable PDF
**Please note: URS is NOT a crisis intervention and does not respond outside of business hours and the child/youth being referred for URS must be registered with the OAP.
Developmental Assessment referrals should use the Medical and Therapy referral form and must be made by a physician.
Coordinated Service Planning
COORDINATED SERVICE PLANNING
Fetal Alcohol Spectrum Disorder (FASD) Worker
FETAL ALCOHOL SPECTRUM DISORDER (FASD) WORKER
Feeding Clinic referrals are only accepted from a pediatrician. Medical issues as they relate to feeding (medications, reflux, gastric delays/ constipation, oral structural anomalies, allergies, congenital anomalies and/or other medical issues associated with feeding difficulties) are first assessed by the pediatrician prior to making a referral to Feeding Clinic. Please see the Feeding Clinic page for details.
We respectfully ask that the referring physician forward all pertinent medical reports (Growth chart required) along with the referral form to help accelerate the referral process.
For any inquiries related to feeding referrals, please call the System Navigator at ext. 2078
Feeding Clinic Referral Form – Word
Feeding Clinic Referral Form – Fillable PDF
Infant and Child Development Program
School Based Rehabilitation Services
School Based rehabilitation services
Anyone, including parents or guardians, teachers, physicians or other health care professionals can refer to the School Based Rehabilitation Services. For a detailed description of the program please click on the title in the menu on the right-hand side of the screen.