Toronto preschool speech language referral form 2026

1. Click ‘Get Form’ to open it in our editor.
2. Begin by providing your consent for the referral. Indicate 'Yes' or 'No' and fill in the date of referral.
3. Complete the 'Client Information' section with details such as the child's name, date of birth, and primary language spoken at home.
4. Fill out parent or guardian information, including names, phone numbers, and emails for both Parent 1 and Parent 2.
5. In the 'Referral Source' section, select all applicable options that describe how you were referred to this program.
6. Detail any current speech and language concerns in the designated area. Be specific about how your child communicates and any medical conditions.
7. Answer questions regarding your child's development, behavior, and any professionals involved with their care.

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