Get Canada Preschool Client Referral Form - Toronto 2014-2025

This guide provides a step-by-step process for completing the Canada Preschool Client Referral Form online. By following these instructions, users can ensure that they provide all necessary information accurately to facilitate their child's referral to the Preschool Speech and Language Program.

Follow the steps to successfully complete the form online.

1. Click the ‘Get Form’ button to access the Canada Preschool Client Referral Form and open it in your preferred editing platform.
2. On the form, indicate whether you consent to the referral to the Preschool Speech & Language Program by selecting 'Yes' or 'No'. Make sure to enter the date of referral in the specified format (yy/mm/dd).
3. Complete the section regarding client information. Fill out the child's first name, last name, date of birth, age at referral, and primary language spoken at home. Please also note if an interpreter or French language services are required.
4. Provide the child’s doctor information, including their name, address, and contact details. This section is crucial for coordinating care and ensuring the appropriate services are provided.
5. For parental information, fill in the names, phone numbers, and email addresses of both Parent 1 and Parent 2. Ensure that all contact information is accurate and up-to-date.
6. Select the referral source by checking the relevant options such as 'Parent/Guardian' or 'Physician'. If any other professionals or agencies are involved, fill out their details in the designated section.
7. Describe the child's daily program, including childcare or nursery school details. Provide the name and contact information for the respective service so that follow-up can occur smoothly.
8. In the section regarding the child's communication skills, answer the questions truthfully about how the child communicates and any speech and language concerns you may have.
9. Complete the areas regarding the child's medical history, development milestones, and any other relevant health concerns. This information helps professionals understand the child's needs thoroughly.
10. Review all the information entered to ensure accuracy. Once you are satisfied with the information provided, you can save changes, download, or print the completed form for submission.

Take the first step in supporting your child's development by completing the Canada Preschool Client Referral Form online today!