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ID-ASD-PD Access Desk

To access rehabilitation services in intellectual disability, autism spectrum disorder, or physical disability (ID-ASD-PD), a request must be made to the ID-ASD-PD Access Desk corresponding to the territory of the user. The request will be processed in accordance with the criteria established by the Access Plan of the Ministry of Health and Social Services and depending on the required services. For any question in line with a request to the ID-ASD-PD Access Desk, we invite you to communicate with us:

ID-ASD-PD Access Desk

Integrated Health and Social Services Network for West-Central Montreal

7000 Sherbrooke Street West, Montreal, Quebec H4B 1R3
Email:guichet.ditsadp.ccomtl@ssss.gouv.qc.ca
Tel: 514-488-5552 ext. 1250
Fax: 514-488-8132

MIRIAM HOME

Intellectual disability and autism spectrum disorder rehabilitation services (ID-ASD)

Access services through CSSS referral
A HEALTHCARE PROFESSIONAL CAN MAKE A SERVICE REQUEST USING THE FOLLOWING REGISTRATION FORMS:

REQUEST FOR SERVICES

OTHER REQUIRED DOCUMENTS:

  • Complete evaluation report that confirms the ID-ASD diagnostic (IQ evaluation and adaptive behavioural) or global developmental delay
  • Other professional reports (occupational therapist, physiotherapist, speech language pathologist, neuropsychologist, etc.) or pertinent medical files

Residential Integration:

  • Multi-clientele evaluation tool (Outil d’évaluation multiclientèle - OEMC), or Functional autonomy measurement system (système de mesure de l'autonomie fonctionnelle - SMAF), or other pertinent evaluation of profile description

CONSTANCE-LETHBRIDGE REHABILITATION CENTRE

PHYSICAL DISABILITY REHABILITATION (PD)

RECOMMANDATION OF A PHYSICIAN REQUIRED.
FOR ALL PROGRAM PLEASE USE THE FOLLOWING REGISTRATION FORM
* Except Driving Evaluation and Vehicle Adaptation Program and Assistive Technology Program: see specific registration form

REGISTRATION FORM

OTHER REQUIRED DOCUMENTS

  • Medical Report
  • Reports from professionals documenting the severity and persistence of difficulties and impact on life habits

 

Traumatology

  • Ambulance reports
  • In addition, for BOGs: Operating protocol and examination report
  • In addition, for TBI: Tracking Form, EEG and MRI

 

Driving Evaluation and Vehicle Adaptation Program

FORM (CAR)
FORM (MOTO)

OTHER DOCUMENTS REQUIRED


Assistive Technology Program

REGISTRATION FORM (Use Internet Explorer to open the form)

OTHER REQUIRED DOCUMENTS

  • Medical Report
  • Health Professional reports documenting severity and persistence of difficulties, and impact on life habits

MAB-MACKAY REHABILITATION CENTRE

PHYSICAL DISABILITY REHABILITATION (PD)

PLEASE USE THE FOLLOWING REGISTRATION FORM
REQUEST FOR SERVICES

AUTHORIZATION TO RELEASE INFORMATION 

OTHER REQUIRED DOCUMENTS

  • Medical Report (when available)
  • Health professional reports documenting severity and persistence of difficulties, and impact on life habits

LANGUAGE DISABILITY:

  • Evaluation report in speech-language pathology (SPL) done in the past 12 months with the follow-up report(s)
  • Other pertinent health professional report(s) facilitating the understanding of needs and lifestyle impacts

HEARING DISABILITY:

  • Audiology assessment report
  • For disturbing tinnitus and Menière's disease: Ear, nose and throat (ENT)
  • For auditory processing disorder: Evaluation report in speech language pathology and psychology

VISUAL DISABILITY:

SALIVA MANAGEMENT CLINIC:

SALIVA MANAGEMENT CLINIC PARENTS QUESTIONNAIRE 

SERVICES FOR ASSISTIVE TECHNOLOGY (SAT-COM) REFERRAL:

SAT-COM FORM