
Individuals, Parents, Guardians
Please note: for support at school, please speak with your child’s school team before submitting a request.

Physicians, Healthcare Providers, Community Agencies
Please note: for a school-aged child who may need support at school, please direct the family to speak with the child’s school team.

School Staff
Please note: for school-based services, please consult with the appropriate members of the school team and follow the established School Based Rehabilitation Services referral process.
Privacy Statement: Our online request forms have been reviewed to ensure they meet the requirements of Ontario’s Personal Health Information Protection Act (PHIPA). Information submitted through these forms is handled securely and in accordance with PHIPA.
Note: You do not need a doctor’s referral to request most JMCC services. We accept requests from families, caregivers, healthcare providers, and community agencies.
After You Submit a Request
Once we receive your form, a member of our intake team will review the information and contact you to discuss next steps. This may include confirming eligibility, requesting additional documentation, or setting up an initial appointment.
Need Help or Have Questions?
Contact us at 519-252-7281 or 1-800-976-5622 or email [email protected]. We can be reached Monday – Friday, 8am-5pm.