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006-3237
Notice to a Director of Proposed PlacementThis form is completed by a licensee who proposes to place a child with an applicant with a view to adoption.on00491
Partner Facility Renewal 2023-2024 Program and Application GuideProvides program and application instructions for the Partner Facility Renewal program.on00426
Partner Facility Renewal 2022-2023 Program and Application GuideProvides program and application instructions for the Partner Facility Renewal program.on00870
Ontario Autism Program – Childhood Budget/Interim One-Time Funding Attestation FormUse this form to confirm your Childhood Budget or Interim One-Time funding was used to purchase eligible services and supports. Before you complete this form: You must have received a letter or email from the Ministry with your unique attestation code. Attestation does not impact current or future OAP funding, standard reconciliation options remain available to you to submit an expense form: Ontario Autism Program - Expense Reportingon00279
Access Request FormThis form is for making an access request for Ontario Disability Support Program records.006-2794
Business Assets ReviewThe Business Assets Review form needs to be completed by ODSP or Ontario Works recipients who are self-employed or operate a business to provide an itemized list of all business assets and tools of the trade to be eligible for additional asset exemptions.006-3249
Formal Complaint To A Society's Internal Complaints Review Panel (ICRP)This form is for use by persons making a complaint to a children's aid society's Internal Complaints Review Panel (ICRP) about a service sought or received from a society.006-3239
Director's Registration of Placement of Child for AdoptionA Director uses this form to register the placement of a child for adoption if they become aware of any placement for adoption of a child that has not been registered under subsection 183 (8) of the Child, Youth and Family Services Act, 2017006-3238
Registration of Placement of a Child for AdoptionA children's aid society or a licensee uses this form to register the placement of a child for adoption under subsection 183(7) of the Child, Youth and Family Services Act, 2017.on00510
Outpatient Referral FormThe form is used to refer a child/youth to outpatient services at CPRI. When an outpatient referral is received, a clinical team works with the referent and community partners to gather information about the referral and how to best meet the needs of the child/youth being referred.on00509
Inpatient Referral FormThis form is used to refer a child/youth to inpatient services at CPRI. Referrals for inpatient services should be submitted through the child/youth's Single Point Access Agency.on00121
Service Objectives - 2021-22 - Ministry of Children, Community and Social ServicesThe Service Objectives Document is part of the Transfer Payment Agreement between Her Majesty the Queen in right of Ontario as represented by the Minister of Children, Community and Social Services and the Transfer Payment Recipient. The Transfer Payment Recipient will deliver the programs and services in accordance with the requirements as outlined in this Service Objectives Document.on00860
Complex Special Needs (CSN) Referral ScreenerThe CSN Referral Screener must be completed by the Service Planning Coordinator prior to referral to the CSN Resource Review process and will assist them in confirming a child’s eligibility. It will also assist in obtaining the appropriate consents from the family and provide them key information about the CSN Resource Review processon00808
Notice: Notification to the Office of the Children’s Lawyer under the Child, Youth and Family Services Act of Services for 16- and 17-Year OldsThis form is to be used by children's aid societies for notification to the Office of the Children's Lawyer under the Child, Youth and Family Services Act of services for 16- and 17-year-olds under the CYFSA006-3242
Application for a Licence or Renewal of a Licence to Place Children for AdoptionThis is the application for a licence or renewal of a licence to place children for adoption issued by a Director under the Child, Youth and Family Services Act, 2017 (this person is generally the Coordinator of the ministry's Private and International Adoption Unit).on00508
Referral for Agency to Agency Community Consultation ServiceThe form is used to refer an agency for agency to agency consultation services at CPRI. This service is a one-time consultation specifically designed for clinical discussion only. Agency staff will consult with CPRI’s clinical team for support, feedback, or further recommendations for a child/youth they are currently working with. Clients and/or guardians do not attend. Should further CPRI services be required, regular CPRI intake processes apply and a full intake package must be submitted.on00511
Referral for Tertiary Medical Consultation ServiceThe form is used to refer a child/youth to tertiary medical consultation services at CPRI. This is a one-time developmental behavioural consultation with a CPRI paediatrician or a psychiatrist. It can also include diagnostic opinion/interdisciplinary ASD diagnostic assessment. Referrals will only be accepted from a medical specialist (e.g. paediatrician, psychiatrist, neurologist, geneticist). All CPRI recommendations are provided to the referring specialist.on00416
Service Objectives - 2022-23 - Ministry of Children, Community and Social ServicesThe Service Objectives Document is part of the Transfer Payment Agreement between Her Majesty the Queen in right of Ontario as represented by the Minister of Children, Community and Social Services and the Transfer Payment Recipient. The Transfer Payment Recipient will deliver the programs and services in accordance with the requirements as outlined in this Service Objectives Document.on00859
Coordinated Service PlanThe Coordinated Service Plan (CSP) is a standardized document used to support coordinating service planning for children and youth with complex special needs. It captures key information about the child and family, outlines current services and goals, and supports ongoing collaboration among providers. The form is intended to be regularly reviewed and updated by Service Planning Coordinators in partnership with families to reflect changes in needs, monitor progress, and guide service adjustments.on00866
Complex Special Needs Service Plan and Budget TemplateComplex Special Needs Service Plan (CSN service plan): is a service plan developed by a CSN placing agency using the recommendations of the CSN Resource Review process. The plan includes a proposed budget and how services funded through the CSN Program will be delivered to support the needs and goals of the child and family.
