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Referral Form

If you have questions about your child's development, you can make a referral to us.  We also accept referrals from your family doctors, pediatrician, health nurse, and caregiver (with permission from the child's guardian).  Participation in our programs is voluntary and free.

To fill out the referral form, CLICK HERE to download the fillable form.

Once you have filled it out and saved it to your computer, send it to us by using the file upload button below, or sent it by email to or by fax to 604-852-5794.


* File Upload