Children's disABILITY Services

Forms, Policies and Publications

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Forms

• Referral and Intake Application form (PDF)

General

• Acknowledgment of the Use of Personal Information and Personal Health Information form (PDF)
  
• Indigenous Identity Declaration Form (PDF)
• Indigenous Identity Declaration - Questions and Answers (PDF)
• Disability Services Feedback Form

             

Disability and Health Supports

• Medical Equipment Request and Justification form (PDF)
• Medical Supplies Request and Justification form (PDF)
  • Incontinence Supplies Guide for Parents (PDF)
• Therapeutic Diet and Nutritional Supplement Request and Justification form (PDF)
• Wheelchair Seating Component Request and Justification form (PDF)
  • Wheelchair Seating Component Guide (PDF)
  • Wheelchair Seating Component Manual (PDF)

             

Self-Managed Services and Transportation Assistance

• Guide to Self-Managed Services (PDF)
• Self-Managed Worker Guidelines (PDF) *NEW
• Family Guide to Invoicing (PDF) *NEW
• Invoicing Guidelines Summary (PDF) *NEW
• Self Managed Services Invoice and Log form (PDF) *NEW
• Transportation Assistance Invoice and Confirmation of Attendance form (PDF) *NEW

             

Summer Skills Maintenance

• Request for Information form (PDF)
• Family Feedback form (PDF)
• Daily Journal form (PDF)
• End of Summer Report form (PDF)
• Service Provider Evaluation form (PDF)

             

Unified Referral and Intake Systems (URIS)

• Clinical Practice Guidelines, Health Care Plans, and Training & Monitoring Resources

             

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Policies

• Eligibility (PDF)
• Resources for Children Diagnosed with Other Conditions who Do Not Meet CDS Eligibility (PDF)
• Adolescent Care (Employment Support) (PDF)
• Agency-delivered Out-of-home Overnight Respite Pilot (PDF)
• Autism Outreach Policy (PDF)
• Case Closure and Reassignment (PDF)
• Child Care Exceptions (PDF)
• Child Development (PDF)
• Equipment (PDF)
• Home Modification (PDF)
• PKU Diet - Limited Eligibility (PDF)
• Respite (PDF)
• Security Checks (PDF)
• Self-Managed Overnight Respite (PDF)
• Summer Skill Maintenance (PDF)
• Supplies (PDF)
• Vehicle Modification (PDF)

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Publications

• Children’s disABILITY Services (PDF)
• Child Development Service (PDF)
• Guide to Self-Managed Services (PDF)
• Family Guide to Invoicing (PDF) *NEW
• Children's Therapy Network of Manitoba - Brochure (PDF) and Info graphic (PDF)
  

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To request documents in alternate formats, please contact the Department of Families Accessibility Coordinator:

Department of Families
Accessibility Coordinator
205 - 114 Garry Street
Winnipeg, MB R3C 4V4
Phone: 204-945-3744
Email: fswebunit@gov.mb.ca

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