Keeping everyone safe at JMCC DETAILS.
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Intake & Referrals

We are here. How can we help?

Our team provides therapy and support services to children and youth (from birth to aged 18, or 21 if still in school) who have communication, developmental, physical and/or behavioural challenges—no diagnosis needed. Getting help for your child is easy and the first step is by making a referral.

Anyone can make a referral, including Individuals, parents or legal guardians, physicians and other community agencies. 

Please note, for in-school services
see “Referrals for Services in Community Schools” below.
Only school staff can make a referral for services in school. Thank you

You can request services in 3 ways:

Option 1:  Online referral form

Option 2: Download form: email/mail/fax your referral
You can download, print and fill in our referral form and fax or mail it to us.
Download the form here.

Option 3 - Call Us to Refer
Contacting Intake Services
JMCC Intake is open for your calls Monday to Friday from 8:00 a.m. to 5:00 p.m.
Call 519-252-7281, Toll-Free: 1-800-976-JMCC (5622)

Referrals for Services in Community Schools (also called School Based Rehabilitation Services (SBRS))

Physiotherapy, Occupational Therapy and Speech and Language Therapy are offered in our area’s four publicly funded school boards by JMCC therapists.

School board employees, please use the following forms:

School Based Rehabilitation Referral Form
Formulaire de Recommandation de Readaptation

School Based Speech-Language Pathologist Referral Form
Formulaire de Recommandation Orthophoniste

If you need assistance, please contact us. We’re here to help!
Email: or 519-252-7281 / 1-800-976-JMCC (5622).