Niagara Children's Centre Birth to "School Start" Speech-Language Pathology Referral Checklist

Thank you for your interest in Niagara Children’s Centre Services! Our Referral forms have all been streamlined and updated as of March 18, 2025. Please visit our new Online Service Request Form. If you are the parent/guardian of a child/youth in Niagara, select “Parent/Legal Guardian” as your relationship to the child/youth to get started! If you are not the parent/legal guardian of a child, you can still access the checklists by selecting “Someone helping a parent/legal guardian complete this form” as your relationship to the child/youth. This will allow you to answer age-specific questions about the child/youth’s development and determine if a referral is recommended. You will only be able to proceed with an actual referral if you have parental consent. If you are a Childcare or Preschool Educator referring to Preschool Speech and Language services as per Quality Child Care Niagara (QCCN) protocols, please select “Childcare/Preschool Educator” as your relationship to the child to get started! Important update: you will be given the option to bypass the checklists and upload electronic/scanned copies. Emails will electronic copies will not be accepted.