Therapeutic Referral for Child Care - London Ontario - london 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out the 'Parent Information' section. Include the full names and dates of birth for both custodial parents or guardians.
  3. Next, provide details for each child requiring subsidized care in the 'Child Information' section, including their full names and dates of birth.
  4. Complete the 'Family Information' section with your address, city, province, postal code, and phone number.
  5. In the 'Referral Information' section, enter details about the referral agency and the person providing the referral. Specify contact information and check all applicable reasons for referral.
  6. Use the additional notes section to elaborate on any emergency situations if applicable. Indicate how many days of care are recommended per week.
  7. Finally, ensure all signatures are obtained from both parents/guardians and the referring professional before submitting your completed form.

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The primary use of information regarding family income (copies of pay slips and tax returns), name of current child care provider, copies of the providers license, statement of compliance, and information about other child care subsidies is also used to determine eligibility for child care subsidy.
CCS rates 2025-26 Family incomeSubsidy rate Up to $85,279 90% More than $85,279 to below $535,279 Between 90% and 0% The percentage decreases by 1% for every $5,000 of income a family earns $535,279 or more 0%
Eligibility is based on the number of children under 18 in your family and your family net income as reported on your income tax return. To be eligible you must: be a resident of Ontario. be a primary caregiver (as defined by Canada Revenue Agency) for one or more children under 18.
Eligibility. You can apply if your child is under 13 years old (or up to 18 years old if your child has special needs and meets other criteria*) and in either: a licensed child care program (centre-based, home-based or in-home services) a childrens recreation program.
Therapeutic Childcare A licensed center-based facility, designed for children ages 2 years and 9 months up to kindergarten who have behavioral health and/or developmental needs.
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Explanation: Child care professionals can indeed provide referral services. This is true. Child care professionals, whether they are educators, therapists, or family service workers, are equipped with the knowledge and resources to offer families guidance on additional support services.

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