Campus * Select Campus Aurora Bradford Brampton - Churchill Brampton - Homestead Brampton - Queen Brampton - Wanless Cambridge Milton East Mississauga West Mississauga - Heartland Mississauga - Meadowvale Richmond Hill - Elgin Mills Toronto - Avenue Toronto - Beaches Toronto - Bedford Toronto - College Vaughan - Maple
Classroom Name * Select Classroom CLASSROOM 1 CLASSROOM 2 CLASSROOM 3 CLASSROOM 4 CLASSROOM 5 CLASSROOM 6 CLASSROOM 7 CLASSROOM 8
Classroom Name * Select Classroom Infant Toddler 1 Toddler 2 Preschool 1 Preschool 2 Preschool 3 Preschool 4
Classroom Name * Select Classroom Infant 1 Infant 2 Toddler 1 Toddler 2 Toddler 3 Toddler 4 / Preschool 2 Preschool 1 Preschool 3 Preschool 4 Preschool 5 Preschool 6 / Kindergarten 3 Kindergarten 1 Kindergarten 2
Classroom Name * Select Classroom CLASSROOM 1 CLASSROOM 2 CLASSROOM 3 CLASSROOM 4 CLASSROOM 5 CLASSROOM 6 CLASSROOM 7 CLASSROOM 8 CLASSROOM 9 CLASSROOM 10 CLASSROOM 11 CLASSROOM 12 CLASSROOM 13 CLASSROOM 14 CLASSROOM 15 CLASSROOM 16 CLASSROOM 17 CLASSROOM 18 CLASSROOM 19 CLASSROOM 20
Classroom Name * Select Classroom Infant 1 Infant 2 Toddler 1 Toddler 2 Toddler 3 Toddler 4 Preschool 1 Preschool 2 Preschool 3 Preschool 4 Preschool 5
Classroom Name * Select Classroom Infant Toddler 1 Toddler 2 Toddler 3 Toddler 4/ Preschool 4 Preschool 1 Preschool 2 / Kindergarten 2 Preschool 3
Classroom Name * Select Classroom Infant Toddler 1 Toddler 2 Preschool 1 Preschool 2 Preschool 3 Preschool 4 Preschool 5
Classroom Name * Select Classroom CLASSROOM 1 CLASSROOM 2 CLASSROOM 3 CLASSROOM 4 CLASSROOM 5 CLASSROOM 6 CLASSROOM 7
Classroom Name * Select Classroom CLASSROOM 1 CLASSROOM 2 CLASSROOM 3 CLASSROOM 4 CLASSROOM 5 CLASSROOM 6
Classroom Name * Select Classroom CLASSROOM 1 CLASSROOM 2 CLASSROOM 3 CLASSROOM 4 CLASSROOM 5 CLASSROOM 6 CLASSROOM 7 CLASSROOM 8 CLASSROOM 9 CLASSROOM 10 CLASSROOM 11 CLASSROOM 12
Classroom Name * Select Classroom CLASSROOM 1 CLASSROOM 2 CLASSROOM 3 CLASSROOM 4 CLASSROOM 5 CLASSROOM 6 CLASSROOM 7 CLASSROOM 8 CLASSROOM 9
Please describe your child’s need(s) and related symptoms and/or behaviours
Please describe any challenges your child is experiencing with social skills including relationships with peers and adults.
Please describe any challenges your child is experiencing with emotional skills including self-regulation and emotional expression.
Please describe any challenges your child is experiencing with communication and language skills including verbal and non-verbal communication.
Please describe any challenges your child is experiencing with physical skills including feeding, dressing, fine motor, and gross motor.
Please describe any challenges your child is experiencing with cognitive skills including focusing attention, memory, and problem-solving.
Please provide the name of the private therapist *
