(optional) Referral Form – Developmental Disabilities Consulting Program

Referral Form

DDCP accepts referrals from many sources, including caregivers, agencies, family members/self-referral and other clinicians for occupational therapy, psychology and counselling. To access psychiatry services, you MUST have a physician's or nurse practitioner's referral. To download our referral form, please click here.


Please fax the referral to: 613-549-7387

or drop-off at 191 Portsmouth Avenue, Kingston, ON K7L 4V1


Please ensure all information is filled out and accurate to ensure access to services in a timely manner.