Get the free Child Development Clinic referral form - Unity Health Toronto

CHILD DEVELOPMENT CLINIC REFERRAL FORM DR FLANAGAN DEVELOPMENTAL Pediatrician 30 The Queensway, Toronto, ON M6R 1B5 Barron Family Our Lady of Mercy Wing, 3rd Floor Tel: 4165306000 x4449 Fax: 4165306294

How to fill out child development clinic referral

How to fill out child development clinic referral

1. Obtain a referral form from your child's pediatrician or healthcare provider.
2. Fill out all required information, including your child's personal details, medical history, and reason for referral.
3. Attach any relevant medical or educational documents that may support the referral.
4. Submit the completed referral form to the child development clinic either in person or through designated channels.

Who needs child development clinic referral?

1. Children who are experiencing developmental delays or disabilities.
2. Parents or caregivers who have concerns about their child's development.
3. Healthcare providers who have identified a need for further evaluation or intervention in a child's development.

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What is child development clinic referral?

Child development clinic referral is a process where medical professionals refer children to specialized clinics for evaluation and treatment of developmental delays or disabilities.

Who is required to file child development clinic referral?

Any healthcare provider or caregiver who suspects a child may have developmental delays or disabilities is required to file a child development clinic referral.

How to fill out child development clinic referral?

Child development clinic referral can be filled out by providing the child's information, caregiver's information, relevant medical history, and reason for referral.

What is the purpose of child development clinic referral?

The purpose of child development clinic referral is to ensure children receive timely evaluation and intervention for any developmental delays or disabilities.

What information must be reported on child development clinic referral?

Information such as child's demographics, medical history, caregiver's contact information, reason for referral, and any relevant medical records must be reported on child development clinic referral.