Niagara Children's Centre Birth to "School Start" Speech-Language Pathology Referral Checklist
Getting Started
About the Referral Checklist
Welcome to the Niagara Children's Centre Birth to "School Start" Speech-Language Pathology Referral Checklist. This is an online checklist that will help you to determine whether a child who has not yet started school in the Niagara region will benefit from a communication development assessment by a Speech-Language Pathologist, at the
Niagara Children's Centre
. This takes about 20-30 minutes to complete.
Si vous désirez un service en français, veuillez communiquer avec l'accueil central afin de compléter l’outil de vérification de communication et de faire une demande de service par téléphone.
If you need a LANGUAGE INTERPRETER for another language or other assistance to complete this form, please call the
Niagara Children's Centre Intake Coordinators
at
905-688-1890, x110
.
The Referral Checklist works by helping to identify whether or not a child's communication skills seem to be developing as expected, if behaviours are present that sometimes occur when a child is not developing communication as expected, and if there are concerns with stuttering, resonance, or quality of voice.
The purpose of this Referral Checklist is to help determine whether a child will benefit from communication assessment by a Speech-Language Pathologist.
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This Referral Checklist is available to children aged 6 months - entry to Kindergarten (or age equivalent) who live in the Niagara Region.
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After you complete this Referral Checklist, you will be able to refer online for a speech-language assessment at
Niagara Children's Centre
if it is recommended based on the results.\n
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The information you submit is kept safe, and only shared with those for whom you give your consent.\n
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What is your relationship to the child?
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