Phone: 613-969-7400 Ext. 2247



Please note that the Quinte Children's Treatment Centre no longer requires a medical referral from a physician or nurse practitioner for some services where it was previously required.  Please see the chart below for details regarding the need for a medical referral and for referral deadlines.

Referrals for in-Centre services may be made for children who have not yet entered school (up to grade 1 if school entry has been delayed) and for whom there are concerns about development and/or communication, as well as for any child from birth to school-leaving age who has a physical disability (eg. cerebral palsy, muscular dystrophy or others). Referrals for social work and/or psychometry will be considered when made internally by the child’s physiotherapist (PT) or occupational therapist (OT) if the child is also involved with in-Centre PT or OT, where appropriate.

Consent for referrals to our centre is required from all custodial parent(s)/guardian(s).

The referral process for school-aged children for in-school physiotherapy, occupational therapy and speech therapy is different.  Referrals for these services are accepted from the school the child attends and there are specific documents that must be completed. Please click here  for additional information.

We require that the names and contact information for all legal custodial parent(s)/guardian(s) be included with the referral.  In keeping with the Substitute Decision Maker hierarchy, both of a child’s parents/guardians are considered to have equal decision-making ability, unless there is a legal document which indicates one parent has sole decision-making ability.  Children/youth may act as their own decision-maker if it is determined that the child/youth understands the information that is relevant to deciding whether to consent and can appreciate the reasonably foreseeable consequences of giving, withholding or withdrawing the consent.

We have added a check box for consent for email communication to our referral forms.  We may rely on this consent for our initial contact with you to determine the best way to communicate, going forward.  It is important that you are aware that when you agree to email communication that there is a risk of unauthorized disclosure or interception of information (e.g. email sent to incorrect email address).

Options for submitting a referral:

  1. Referrals can be uploaded electronically through our website using ServU.  ServU is a fully encrypted document transfer platform which complies with all Canadian privacy legislation, so you can be assured that your personal health information is protected.  There is the ability to upload more than one document if needed. Please be sure to name and save your document before uploading; if a blank document is received, we have no way of knowing where or who it was sent from.  

Instructions for uploading a document(s) saved on your device:

  • Click here and select “Browse”
  • Select your document from the location where you have saved it and click “Open” at the bottom right side of your screen
  • Once the file name appears in the box to the left of the “Browse” button, navigate to the bottom right corner of your screen and select “Upload”
  • That’s it – you’re done!

When you upload a document, you will see a screen confirming that your document(s) has been uploaded; however, will not receive a reference or confirmation number.  Please feel free to contact us to confirm that we have received your document(s).  Referrals to our Preschool Speech and Language program may also be submitted through ServU, or may be submitted following completion of a Communication Checklist, which asks about your child’s development and recommends/does not recommend a referral, based on the outcome.  To access the Communication Checklist, please click here.

  1. Faxing to: (613) 968-9154
  1. Mailing to:               
              Quinte Children’s Treatment Centre
              Quinte Health
              Belleville General Site
              265 Dundas St. E.
              Belleville, ON 
              K8N 5A9
Type of Referral Physician/Nurse Practitioner Referral Required Forms Required Deadline for Referral Submission
Physiotherapy, Occupational Therapy,            Feeding                       NO Referral Request Form  School entry (unless has physical disability; please see above)
Preschool Speech and Language Program NO Referral Request Form  April 1 of the year the child is entering school (up to Grade 1 if school entry is delayed)
Autism Diagnostic Assessment (Primary Care Practitioners and Non-Paediatricians)


See DSM-5 Criteria for ASD here

Autism Diagnostic Hub Referral Package for Primary Care Practitioners and Non-Paediatricians

(includes Referral Request Form + ASD Hub Referral Form for Primary Care Practitioners and Non-Paediatricians) 

Age 16
Autism Diagnostic Assessment - Paediatricians



Autism Diagnostic Hub Paediatrician Referral Package for Paediatricians

(includes Referral Request Form + ASD Hub Referral Form for Paediatricians)

Age 16
Coordinated Service Planning


CSP Referral Form School leaving age
FASD (Fetal Alcohol Spectrum Disorder) Support   NO

FASD Referral Form

(*note this is not for FASD Diagnosis, support ONLY)

School-leaving age

For referral information and questions, please call 613-969-7400 x 2247