On this form parents and professionals can refer to the SmartStart Hub as well as Occupational Therapy, Physical Therapy, Speech-Language Therapy and the Infant and Child Development Program. Professionals in the community such as educators, primary care providers, and other community partners can also request service for other programs. Click "More information for professional referral sources" below.

What to Expect:

• Complete this service request in just a few moments.
• Your answers on the Eligibility Checklist(s) may or may not result in a recommendation for referral based on the responses. If referral(s) are recommended, you will have the option to make referral(s) for assessment(s) with Niagara Children’s Centre. Our Intake Coordinators will determine which assessments are provided based on the completed checklists and the Centre’s eligibility requirements and service delivery models. Please note that final decisions about eligibility are made by Niagara Children’s Centre.
• If a referral is submitted, the parent/legal guardian may receive a confirmation email that the referral has been received by the Niagara Children’s Centre and this email may contain information about next steps.
• If a parent/guardian is submitting the referral, they will be given the option to book an Intake Phone Appointment before closing this form.
• You can download a copy of the referral(s) for your records at the end of this process.