Online Referral to KidsAbility

Welcome to the Online Referral Form for KidsAbility.

KidsAbility is a SmartStart Hub for Waterloo Region, City of Guelph, and Wellington County. We provide a range of therapy services to children and youth aged birth to 18 (or until age 21 if attending a publicly funded school in our area).

As a SmartStart Hub, we support and connect families with concerns related to their child’s development and day-to-day functioning. Depending on a child or families’ needs, services may be provided by KidsAbility or by other community Partner Agencies.

More information for professional referral sources

Who should complete this online referral form?

As a SmartStart Hub we can support families with concerns about their child’s development who:

Are not sure what their child’s development needs, what services to seek or are not sure where to start.
Feel they would benefit from a discussion about their child’s development/strengths/needs.
Feel they would benefit from referral(s) to appropriate services, and access to family education and family supports.

Primary care providers/physicians, community partners, other professionals or someone helping a parent or guardian fill out the form may also submit the online referral form on behalf of a child/family with their consent.

What to expect: Parents

What to expect: Professionals

Language/Interpreter or Other Support Needs

To Begin:

^*What is your relationship to the child?

^*Has a parent or legal guardian with custody consented to this service request?

calculations

[user-type]

KidsAbility uses 'parent' (legal guardian & Form Helpers), and 'professional' (primary care provider, school rep, HCCSS)

[relationship-organization]

Used on Referral info page to word the question nicely.

[link-to-private-practice]

Used in multiple places so only need to update it here.