KidsInclusive School-Based Rehabilitation Services
The goal of School-Based Rehabilitation Services (SBRS) is to maximize student safety and accessibility in the school environment and to support inclusive participation in school activities.
Services include:
Occupational Therapy and Physiotherapy: for students who require consultation support in the areas of safety, self-care, fine and gross motor, and self-regulation.
Speech Therapy: for students with moderate to significant speech needs in the areas of articulation, fluency, resonance and voice.
This referral form will take approximately 10 minutes to complete.
*
Student's first name
*
's school board
Select a board
*
's grade
Select grade
*
's date of birth
*
What is your role?
Select a role
*
Consent for this referral to SBRS has been provided by
Select one
*
Name of parent/legal guardian providing consent
*
Date consent gathered
Which school-based services does require?
Speech Therapy
Physiotherapy
Occupational Therapy
Calculations
[age-years]
[speech-exists]
[physio-exists]
[occupational-exists]
[select-one]
[select-one-2]
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