Children's Case Management Registration Form
The child must meet the following criteria to be considered for case management services:
- Is under the age of 18 years
- Live in Ottawa
- Have a confirmed and documented diagnosis of a developmental disability (with intellectual scores below the 2nd percentile) and or Autism Spectrum Disorder
To register for case management, a parent/guardian must complete the following form, and include the required documentation. The registration form will be reviewed by Service Coordination Supports (SCS) to confirm eligibility and outline next steps.
If at any stage in completing this form you find you need more time to gather documentation you can scroll to the bottom and select "Save and Continue Later". This will provide you with a special link that will allow you to finish the form without having to re-enter the completed sections.
If required, you can complete a paper referral form and fax to: 613-748-1018 or mail to: Service Coordination Support 1400 St. Laurent Blvd, Ottawa, ON K1K 4H4
