Infant and Child Development Referral Form

Infant and Child Development Referral Form

by Richard Eady | Jan 10, 2023 | Child Development, Respite

Part A: Child InformationName of Child(Required) First Last DOB(Required) MM slash DD slash YYYY Gender Male Female Parent(s)/Guardian:(Required) Address(Required) Street Address Address Line 2 City State / Province / Region Postal Code Phone(Required)Alt....
Making Way for Post-Secondary Registration Form

Making Way for Post-Secondary Registration Form

by Richard Eady | Dec 16, 2022 | Autism, Child Development

Preparing your child to transition to Post- Secondary Education is a big step and starts long before the move to college or university actually happens. This workshop provides strategies to help you build a transition plan, establish goals and a timeline to get your...
Making Way for Post-Secondary Registration Form

From Reluctant Student to Engaged Learner Registration Form

by Richard Eady | Dec 16, 2022 | Autism, Child Development

Going to school can be challenging for children, even on a good day.  This workshop will aid in identifying factors that may be affecting your child’s desire to attend school. Parents, caregivers and educators can explore strategies to help your reluctant student...
ConnectWell Therapeutic Riding Program Donation Form

ConnectWell Therapeutic Riding Program Donation Form

by Richard Eady | Nov 2, 2022 | Child Development, Developmental services, Physical Activity

Name(Required) First Last Email(Required) Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and...
Sibshops Registration Form

Sibshops Registration Form

by Richard Eady | Oct 19, 2022 | Child Development, Developmental services, Physical Activity

  As part of our foundational family services, ConnectWell Autism Service is pleased to be offering Sibshops.This is a “free” service for families that are registered with the OAP This program runs the 3rd Wednesday of every month and registration is ongoing.  To...
Sibshops Registration Form

Autism Core Clinical Services Request Form

by Richard Eady | Oct 19, 2022 | Child Development, Developmental services, Physical Activity

Date of Request(Required) MM slash DD slash YYYY Section A:Name(Required) First Last OAP#(Required) DOB(Required) MM slash DD slash YYYY AGE(Required)Gender(Required) Address(Required) Street Address City Province Postal Code Diagnosis/Diagnoses(Required) Name of...
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Recent Posts

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