All fields are required unless marked “optional”
*Important* - This is not a crisis line. If this is an emergency, please call 911.
This request is being submitted with the knowledge and consent of named parents/legal guardians. Have parents provided implied consent to information collection as per ErinoakKids Privacy Policy available at: erinoakkids.ca
Is the child currently registered with the Ontario Autism Program (OAP)?
If your child has received an autism diagnosis, please visit the OAP website or call the Central Resource Team at 1-888-444-4530 to register for the Ontario Autism Program
Do you need more time to complete the referral?