Referral Information and Forms

CTN provides service navigation and referrals to various programs and services (including ABA intake) throughout Simcoe County and York Region. If you think a family you work with needs to access any of CTN’s services, all you need to do is make the referral and we will do the rest.


If you're a physician and think a family you work with needs to access our therapy, assessment or speciality services please complete the Physician Referral form.

Other service providers

For other service providers (therapists, early interventionists, resource teachers, etc.) CTN categorizes referrals in two ways:

1. Request for Local Team Services. Use this form to refer to:

  • Audiology 
  • Brief Resource Service
  • Child and Family Counselling
  • Family Mentor Program
  • Growth and Development Clinic
  • Inclusive Recreation 
  • Occupational Therapy
  • Physiotherapy 
  • Seating (Local Team Level)
  • Service Navigation; Service Navigation for Military Families
  • Single Plan of Care Coordination

2. Request for Specialty Services. Referrals to the services listed below require additional documentation and can only come from the providers and physicians listed in the form for each of the services. Please note this referral form does not include Feeding (FACS):
  • Augmentative and Alternative Communication (ACCS) 
  • Developmental Assessment (DACS) 
  • Seating and Mobility (SEAT) 
  • Joint Management Botox©/Baclofan (now referred to as Spasticity Management)
  • Neuropsychology 
  • CTN Medical Consult

3.  Request for Feeding (FACS). Please complete this form to make a referral to the Feeding (FACS) program.

Need more information?

Call us at 1-866-377-0286
Our service navigators are available to help service providers as well as families. 
CTN recognizes the diversity of the communities we serve. Service navigation can be provided in French and we are happy to arrange for a translator for other languages.

Consent to Share Information

To discuss consent to share information with clients and families please review the Consent and Privacy Guide with the family and complete the Consent for Information Sharing and Collection of Personal Information form.  This will facilitate the sharing of information and the use of the shared record across all providers working with the child, youth and family

All completed forms can be faxed to CTN ACCESS at 705-792-2775.