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Parents and Guardians

You can always phone our Intake Co-ordinator at (905) 688-1890 ext. 151 to make a referral, but...

A referral is as easy as ABC

Instructions:

A.  Open and print the icon Parent Referral Package (335.86 kB).

B.  Complete the three forms in full.

  • Intake Documentation -2 pages
  • Consent Form -1 page
  • Speech and Langauge Consultation Form -2 pages

C.  Send your completed forms to our

Intake Co-ordinator
Speech Services Niagara
567 Glenridge Avenue
St. Catharines, Ontario
L2T 4C2

fax: (905) 688-4665