Starbright Children’s Development Centre

Referral Forms


Our online form submission process is completely secure, using the latest in encrypted SSL. When proceeding to fill out one of our online forms you will be directed to a secure https page. Once the form is submitted you will be emailed a confirmation with form details for your reference.

Please choose the appropriate referral form based on who is referring the child.

Please be informed that if your child is eligible for kindergarten entry in 2021, due to the length of time your child would have to wait to receive services, Starbright will not be able to provide the intervention needed within the eligible time frame. Our cut-off date is October 1st of the year prior to your child being eligible to enter Kindergarten.

The number of therapists who provide therapeutic services is determined by the contract our agency has with the Ministry of Children and Family Development (MCFD). Regardless of numbers of children on our waitlist, we don’t receive more funding and therefore do not have the ability to increase our capacity. We apologize.

 


Starbright Referral Form
(for Physician, Healthcare and Community Professionals)

 

 


Parent Request for Service and Consent Form (for parents or guardians)

 


Parent Consent Form (Head Shape) (for parents or guardians)

 


MCFD Referral and Consent Form