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(519) 354-0520
info@ctc-ck.com
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Referrals

Please call us today at 519-354-0520 and dial 0. Our helpful staff will be able to assist you!

Are you unsure of what services we provide?

Our staff will answer your questions to see if we can help.

You can also complete one our referral forms and drop it off at our Centre. Please click on the links below:

Referral for Children’s Treatment Centre of Chatham-Kent

  • Referral Form (English)
  • Formulaire de référence

School Based Rehabilitation Services:

  • School Based Rehabilitation / Central Auditory Processing Services Principal Referral Form (English)
  • Services de réadaptation en milieu scolaire Formulaire de recommandation de la direction d’école

Please attach the appropriate checklist to the service you are requesting from below, and attach to the Principal Referral Form completed from above:

Physiotherapy Checklist
  • Physiotherapy / Occupational Therapy Teacher Checklist – Please print off document complete and forward to the CTC-CK.
  • Formulaire de recommandation de la direction d’école
Occupational Therapy Checklist
  • Physiotherapy / Occupational Therapy Teacher Checklist – Please print off document complete and forward to the CTC-CK.
  • Liste de vérification du personnel enseignant – ergothérapie
Speech Therapy Checklist
  • SLP Referral Form
  • Recommendation de l’orthophoniste du conseil scolaire
Central Auditory Processing
  • Auditory Processing Domains Questionnaire (APDQ) completed by teacher – Please print off document complete and forward to the CTC-CK.
  • CAPD Teacher Checklist
  • Traitement auditif central – Liste de vérification du personnel enseignant

Coordinated Service Planning (CSP)

Referral from community service provider: English Form

Formulaire d’Aiguillage Vers la Planification Coordonnees des Services de Chatham-Kent: French Form

Augmentative and Alternative Communication (AAC) Clinic

Please read the Augmentative Communication  Clinic (AAC) Information on Services and Referral Services (Part 1) for more detailed information.  The following forms must be completed:

      • (Part 2) – Request for Augmentative and Alternative Communication (AAC) Clinic Referral Form
      • (Part 3) – Augmentative and Alternative Communication (AAC) Guided Assessment-Daily Communication Partners Form (Must be completed and included with referral)

Fetal Alcohol Spectrum Disorder Program (FASD)

Referral from community service provider:  English Form

Fee For Service

    • Fee For Service Information
      If you are interested in finding out more about Fee for Service Occupational Therapy and Speech/Language Therapy, please call Marnie Ball, 519-354-0520, ext. 243.

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Latest News

  • Welcome to the CTC-CK – We’re Open
  • An Update from The Children’s Treatment Centre of Chatham-Kent
  • Children’s Christmas Party – Dec 17, 2020 SOLD OUT
  • Empowered Kids Ontario – Survey
  • Fee For Service

Children’s Treatment Centre of Chatham-Kent

355 Lark Street Chatham, Ontario N7L 5B2
Phone: (519) 354-0520
Toll Free: 1-833-241-0628
TTY: 1-226-996-9967
Fax: (519) 354-7355
info@ctc-ck.com
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Hours of Operation

Monday & Thursday

8:00 am - 5:00 pm

Tuesday & Wednesday

8:00 am - 6:00 pm

Friday

8:00 am - 4:00 pm

To access programs after hours, please press the doorbell.

Our Foundation

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355 Lark Street Chatham, Ontario N7L 5B2
519-354-0520 ext. 266
foundation@ctc-ck.com

www.ctcf-ck.com

Registered Charity #: 824828354RR0001

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