Get Octc Referral Form 2020-2025

Filling out the Octc Referral Form online is a vital step in initiating the referral process for children needing assessment and treatment services. This guide provides a clear, step-by-step process to help you navigate the form efficiently.

Follow the steps to complete the Octc Referral Form online.

1. Press the ‘Get Form’ button to access the referral form and open it in your preferred online editor.
2. Begin with providing child information. Fill in the first name, middle name, last name, OHIP number, version code, and expiry date. Indicate the language of service and home language. Enter the date of birth in d/m/y format and select the gender of the child. If an interpreter is required, please indicate 'Yes' or 'No'.
3. Highlight the home address and contact information for the child. Ensure you provide complete details to facilitate communication.
4. Confirm that the parent or guardian is aware of the reason for the referral and agrees to it. This consent is mandatory for processing.
5. Identify the reason for referral by selecting from the available options such as concerns about developmental delay, autism spectrum disorder, or any other concerns. Provide further details if necessary.
6. Fill in parent/guardian information. If the child resides with someone other than their parents, include names, relationships, and contact information for both guardians accordingly.
7. Indicate the custody arrangement if applicable and detail any Children’s Aid Society (CAS) involvement.
8. Check all areas of concern related to communication, motor skills, behaviors, social and play skills, and self-care and safety. Specify if there are no concerns.
9. Provide medical information about past and current concerns. Select any relevant medical specialists the child has been referred to or seen and provide their contact details.
10. If applicable, attach any medical investigation results such as MRI or EEG. List any medications the child is currently taking.
11. Include therapy intervention details if the child has received assessments or treatments. Attach any relevant reports.
12. Finally, complete the referral source information by providing the name of the referral source, their relationship to the child, and signature. Don't forget to include the date.
13. After completing the form, you can save changes, download it, print a copy, or share the completed form as needed.

Begin your online referral process today by completing the Octc Referral Form.