The referral process starts with your information request. But as you are unique, we will contact you to find out more about your needs and set up a tour or information session at your home or at our sites.
Please request a contact with the Intake administration at the address below.
Application forms
For ABI in the Streets, please follow this link.
To apply for our ABI services, please complete the following forms.
Note: Adobe Acrobat is required to view these forms and is available for free.
- Referral Form - Brain Injury Services
- Medical Report - Brain Injury Services
- Consent to Collect and Disclose Personal Health Information
Mail, fax or drop off your completed forms to the address below.
Eligibility criteria
GENERAL PROGRAM ELIGIBILITY
The applicant must:
- Be at least 16 years of age.
- Be a Canadian citizen or landed immigrant and have a valid Ontario Health Card.
- Have a permanent physical disability or brain injury.
- Provide verification of disability through medical documentation from a valid regulated health practitioner.
- Have any medical issues stabilized with ongoing clinical supervision.
- Not be dangerous to themselves or others or have behaviours that will be disruptive to effective service provision.
- Not have ongoing psychiatric or substance use issues that will be disruptive to effective service provision.
- Have a free will commitment to rehabilitation and/or participation in programs.
- Be able to pay for any costs associated with program participation.
SPECIFIC PROGRAM ELIGIBILITY
ABI Transitional LIVING
The applicant must:
- Be safe should they leave the transitional living setting both on a daily or permanent basis.
- Demonstrate the desire and/or potential (with or without support) to participate in the program.
- Be safe when left alone or demonstrate this capacity for the future.
- Have a suitable plan for housing upon discharge.
- Require 4 hours or less of personal support per day, and 4 hours or less a week of community facilitator support. The applicant must show the potential to decrease the staffing support throughout the duration of the program.
ABI Group Home
The applicant must require twenty-four hour supervision along with personal support.
ABI Outreach Program
The applicant must:
- Participate in the development of their goals and work consistently on the completion of those goals.
- Reside in the Region of Waterloo or County of Wellington.
- Reside in their own personal home including a retirement home. Applicants living in LTC facilities are not eligible.
ABI Day Program- Opportunity Centre
The applicant must:
- Have have a level of independence that ensures his/her safety should he/she choose to leave the Opportunity Centre at any time during program hours.
- Not reside in Long Term Care.
- Reside in the Region of Waterloo or County of Wellington.
ABI Day Program- Beginnings Program
The applicant must:
- Require personal support services.
- Not reside in Long Term Care.
- Reside in the Region of Waterloo or County of Wellington.