Referral Form for Halton Region Services and Supports for Children

Last Updated January 24, 2024


Refer your patients for one-stop access to Children’s Developmental Services, Child Care Subsidy, Healthy Babies Healthy Children, and other community services and agencies.  Refer for any concerns about infant or child development or for a family needing extra support.  After referral, Halton Region staff will contact the family to complete a comprehensive intake assessment and connect families to appropriate services and supports. Families can also call 311 to self-refer.

For more information:  https://www.halton.ca/For-Business/Information-for-Physicians

OntarioMD has developed a referral form that can be imported into your EMR instance to aid clinicians in referring patients to Halton Region Services and Supports for Children.

TELUS PSS Custom Form

Coordinated Referral Form

OSCAR Pro eForm

Coordinated Referral Form

Accuro® EMR Form 

Coordinated Referral Form