The following are some examples of primary diagnosis’s that we DO NOT fund: Autism Spectrum Disorder, ADHD, ADD, Behavioural, Diabetes. Please DO NOT submit an application if your child has one of these as their primary diagnosis. Thank you!
JACC, 10800 Concession 5 Uxbridge, ON L9P 1R1
bevans@jenash.org
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. If required documents are not received within two months of the submission date, the file will be closed.
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 15000 only (total income)
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