ࡱ> y /*bjbjEE N''/" lppplllllll$nTqf?lpN"ppp?lTlplplfbp!j ! L:=eDljl0leq&q!j!jq5jppppppp?l?lppplppppqppppppppp :  Referral form tc \l1 "Application form PLEASE INCLUDE THE FOLLOWING INFORMATION IN ORDER TO BE CONSIDERED FOR PLACEMENT. Date of referral: Reason for referral: Name: Date of Birth: Ethno-Cultural Self-Identification: No Yes specify Black e.g. African Black, American Black, Canadian Black, West Indian Black, Other Black South Asian e.g. Bangladesh, Indian(India), Pakistani, Sri Lankan Asian e.g. Chinese, Fijian, Japanese, Korean, Polynesian West Asian e.g. Arab, Armenian, Egyptian, Iranian, Lebanese, North African Arab Latin or Mediterranean e.g. Latin American of Spanish or Portuguese descent Caucasian e.g. Whites of European ancestry or descent Aboriginal e.g. North American natives including Inuit and Mtis Other e.g. Australian Aboriginal, Central and South American Sexual Orientation- Gay, Lesbian, Transgender, or Questioning Unknown Internal use only(Comments):  Client (Legal Custody): Parental joint custody Parental (Single Parent) identify parent:_____________________ Childrens Aid Society Crown ward Childrens Aid Society Society or Temporary ward Childrens Aid Society Temporary Care Agreement Independent Other: specify: ____________________________ Prohibited contacts:___________________________________ Internal use only(Comments):  Clients Current Living Setting: (please provide address, phone number and contact person) Family Natural _________Extended_________Adopted________ Foster Home Friends Home Group Home Homeless, Hostel Hospital, Treatment facility Medical Independent Currently in detention Other: specify________________________ Family Issues/Concerns/Dynamics Lack of family support to provide care Inability to meet the needs of the child Family conflict/distress Parent/Child conflict Family break-up Substance abuse Physical or mental health issues Refugee Limited English/French Skills Socio/Economic Challenges Cultural Discord Other specify: _____________________ Internal use only(Comments):  Last general medical/physical exam date: Attending physicians name, address and phone number: Last dental check-up (Dentists name, address and phone number): Diagnosis, current medications & doctors name & date assessed: Doctors name: __________________________________________ Address and phone number: Date of assessment _____________________ Medication(s): Medication being reviewed and supervised by: (if medication is being monitored by another doctor, please include name, address and phone number) Doctors name: __________________________________________ Address and phone number: Attention Deficit Disorder Attention Deficit Disorder with hyperactivity Communication disorder Bipolar Tourettes Syndrome Obsessive Compulsive Disorder Conduct Disorder Oppositional Defiant Disordre Post -Traumatic Stress Disorder Depression Other specify: _____________________________ Internal use only(Comments):  Intellectual/Adaptive/Functional Developmental delay Asperger Disorder Autism Spectrum Disorder Deficits in Intellectual Function Fetal Alcohol Spectrum Disorders Intellectual Disability/Specific diagnosis: ___________________________ Internal use only(Comments):  Thoughts, Perception and Mood Disturbances/Disorder Disturbances in Thought Process Anxiety Continued Excited Mood Labile Mood Depression Suicidal Ideation Suicidal Gesturing (if applicable, please specify recent episode and attach all hospital admissions and assessments including discharge summary) Self Harm ( if applicable, please specify what means the youth utilizes to self harm): Substance use/Abuse (If applicable what type of drug(s) and to your knowledge, when did the youth last used?)______________________________ ________________________________________________________________ ________________________________________________________________ Internal use only(Comments):  Physical /Sensory Neurological or brain damage Sleep disturbances Enuresis Encopresis Sensory deficits/disorder Psycho-Physiological Incontinence Visual/hearing impairment Mobility limitations Communication limitations Other specify: _______________________ Internal use only(Comments):  Victimization Sexual Abuse Physical Abuse Emotional Abuse Reported abuse to: ______________________________________ Bullying/being bullied/Threats Exploited Child of War Female Genital Mutilation/other body altering rituals Other specify: ______________________________________ Internal use only(Comments):  Socialization Lack of peer friendship/relationship Social isolation Vulnerability Discrimination Gang involvement Unable to communicate Internal use only(Comments):  Aggression (Verbal) Peers Adults People in position of Authority specify: Aggression (Physical) Peers Adults People in position of Authority specify: Weapon used: (if applicable, please specify events and include any Serious Occurrence Reports (SOR): Internal use only(Comments):  Psychological, Educational, Clinical assessments: Include photocopies of all testing performed (WISC III SCORES, FUNCTIONING LEVELS) School and Learning Current school placement (name, address, phone number and contact person) & grade level: Lack of support School Phobia Academic Under achievement Specific Learning Disability Transportation problems Other specify: ___________________________ Education synopsis: Location of OSR: Description of current charges: (including any historical young offender status) Current charges: Probation: (if applicable, please provide the following information: probation officers name, address and phone number): Start date: End date: Any upcoming court appearance: (Where and When?) Internal use only(Comments):  Past placements (list dates and reason placement broke down): Other agency involvement (outpatient/inpatient services): Other health concerns e.g. - allergies, asthma: _____________________________ ______________________________________________________________________ Previous successful interventions (brief description): Youths strength and Interest: What would help the youth feel welcome? : RELEVANT BACKGROUND INFORMATION: Please indicate family background, significant events, family history of psychiatric disorder, culturally significant factors and any relevant history. (Attach additional pages as necessary.) If a youth as been deemed a successful candidate, the following documents are required upon admission: Health Card Copy of Birth Certificate Updated Immunization Record Valid health insurance (Green shield etc..) Medication (refilled for at least 30 days) Report Card from last School attended ***Secure Treatment Program only Original and sealed Secure Treatment order must be available upon admission. A copy of the complete file, including this copy, needs to be sent by mail or fax (if under 30 pages) to: Mariette Chrtien Roberts/Smart Centre 1199 Carling Avenue Ottawa, On K1Z 8N3  HYPERLINK "mailto:intake@rsc-crs.com" intake@rsc-crs.com Tel: (613) 728-1946 Ext. 236 Fax: (613) 728-4986 Once the file is received and reviewed, you will be contacted and advised of when the presentation will take place. 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