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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.006-3261
Invoice for Completing a Disability Determination Package, Medical Review Package or Providing Additional Medical InformationFor health care practitioners to bill the Ministry for their services in completing the Disability Determination Package, Medical Review Package or providing Additional Medical Information to the Disability Adjudication Unit.on00187
Affidavit – Form MTo be used by the applicant or respondent as additional evidence in support of either their application to establish or vary support or in support of their response to the application to establish or vary support. The form is also used by either party in response to a request for further information or documents from the court hearing the application.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.on00646
Ontario Disability Support Program (ODSP) - Mandatory Special Necessities (MSN) Benefit ApplicationApplication may only be completed for recipients of ODSP. The following approved health care professionals licensed to practice in Ontario can complete the application: • Physicians, Nurse Practitioners, Registered Nurses, Occupational Therapists, Physiotherapists, Physician Assistants, and Psychologists* *Psychologists can only complete the Medical Transportation section of the form. The application may only be completed for medical supplies, items, and devices listed in the MSN Schedule of Benefits (https://www.ontario.ca/page/ontario-disability-support-program-health-and-disability-benefits) and items must not be otherwise reimbursed or subject to reimbursement from any other source.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.on00601
Financial Circumstances FormTo provide financial information of the creditor and debtor to assist in the enforcement of a support order and to assist the court in the establishment or modification of a support order for applications under the 2007 Hague Child Support Convention.on00772
Offence DeclarationThis form is intended for use by persons required to provide an offence declaration under the Child, Youth and Family Services Act, 2017 or under the Intercountry Adoption Act, 1998.on00771
Notice of Charge or ConvictionThis document is intended for use by persons required to provide a notice of charge or conviction under the Child, Youth, and Family Services Act, 2017 or under the Intercountry Adoption Act, 1998006-3256
Ontario Autism Program Childhood Budget FormUse this form to apply for Ontario Autism Program Childhood Budget funding, if eligible. Applications are now closed. Learn more about Ontario Autism Program Childhood Budgets: https://www.ontario.ca/page/ontario-autism-program-childhood-budgets Learn more about other Ontario Autism Program services and supports: https://www.ontario.ca/page/ontario-autism-program#section-3on00073
Ontario Autism Program – Expense FormUse this form to report and categorize expenses for Ontario Autism Program: - Childhood Budgets - Interim One-Time Funding Before you report expenses: Check eligible and ineligible expenses for childhood budgets and interim one-time funding https://www.ontario.ca/page/ontario-autism-program-eligible-and-ineligible-expenses-childhood-budgets-and-interim-one-time You can also use this form to apply for and renew Interim One-Time (IOT) Funding, if eligible. Before you apply: Please check if you are eligible for Interim One-Time Funding https://www.ontario.ca/page/ontario-autism-program-interim-one-time-funding#section-1 Before you renew: Please check if you are eligible to get a second Interim One-Time Funding payment https://www.ontario.ca/page/ontario-autism-program-interim-one-time-funding#section-6 Each eligible child and youth can also renew their funding once. You cannot get more than two interim one-time funding payments.
