Families

NDD Care Coordination Project

If you are interested in care coordination and would like to know if your family is a good fit for this project, please complete the questions below.

If you checked both of the boxes above, please continue to the questions below. If you did not check both boxes above, your child does not currently meet the inclusion criteria for the Care Coordination project but may be in the future as we expand our target population.

If you clicked yes on the first 2 boxes (NDD diagnosis and significant medical issues) AND 1 or more of the additional boxes, please print the documents below and bring them to your child's family physician, community pediatrician or mental health professional.

Download Referral Form

	Have difficulty making or getting to your child's appointments?
	Struggle to navigate the health system?
	Need assistance to manage all of your child's medical recommendations?
	Feel isolated due to language, cultural or social barriers?
	Need help accessing educational and social supports for your child?

NDD Care Coordination Project

Families

Does your child have:

Do you:

	A confirmed or pending diagnosis of ASD (Autism Spectrum Disorder) AND/OR ADHD (Attention Deficit Hyperactivity Disorder)
	Significant medical issues treated or followed at the Alberta Children's Hospital and/or Child and Adolescent Addiction, Mental Health & Psychiatry Program (CAAMHPP)