Child and Youth Online
Referral Form
Referral Form
Refer to one of Hands’ Child and Youth Services by completing our online referral
Child and Youth PDF
Referral Form
Referral Form
Refer to one of Hands’ Child and Youth Services. Fax completed form to
1-800-668-8555
1-800-668-8555
Autism Diagnostic Hub Referral Form
Request an Autism Screening or Diagnostic Assessment (for children ages 0-17)
Developmental Services Ontario (DSO) Referral Form
Apply for Developmental Services Ontario or refer a client for services
Specialized Accommodation Resource Request Form
Submit a request for Specialized Accommodation resources
Specialized Accommodation Invoice
Submit Specialized Accommodations invoices online by the 5th of each month
Specialized Accommodation Actuals at Discharge Form
Submit Specialized Accommodations discharge numbers at service end date
Tele-Mental Health Referral Form
Refer a client to tele-mental health services. Fax completed form to
249-502-8292
249-502-8292
Tele-Mental Health Information Disclosure
Get consent for the disclosure of personal information. Fax completed form to 249-502-8292
Tele-Mental Health Follow-Up Form
Request a follow-up and timeframe. Fax completed form to 249-502-8292
Youth Court Worker Referral Form
Apply to the Consultation and Court Support services in Muskoka or Parry Sound
Youth in Transition Referral Form
This program is managed by Simcoe Muskoka Family Connexions. Visit their website for more information.
Coordinated Service Planning Referral Form
Refer to Coordinated Service Planning in Muskoka, Nipissing, and Parry Sound