Get Help

What We Fund

Medical Treatment

Household Costs

Must be directly related to child’s medical issues.

Respite Care

Can only apply once in a 12 month period

Hospital Treatment Costs

Therapies

Mail

JACC, 10800 Concession 5 Uxbridge, ON L9P 1R1

E-mail

mplummer@jenash.org

Please review these items before submitting your application

Three ways to submit your application

Download, save and submit with ALL required supporting medical and financial documentation (either e-mail, fax or mail)

Print the form, complete by hand and submit with ALL of the required supporting medical and financial documentation (either e-mail, fax or mail)

Complete the online form (below) and upload ALL required supporting medical and financial documentation.

Please do not send your application without the required medical and financial documents. It will not be processed.

Documents that you will need to include with your application

The following documents must be uploaded/included with your Application

Licensed Canadian Medical Practitioner’s Diagnosis

Letter from Child’s Therapist, Medical Professional, or Social Worker supporting the application

Assistance to Children with Severe Disabilities (ACSD) stub/statement(If NO ACSD is received, a cheque stub or statement for employment…etc)

Notice of Assessment(s) – Require page with line 150 only (total income)