Anyone can make a referral to CHIRS. We will require the following information
before bringing the request for service to our Intake Committee:
A completed ABI Community Profile and relevant brain injury medical and consult reports must be included and submitted to the Toronto ABI Network by fax.
The Toronto ABI Network offers a single point referral service to
publicly funded member agencies. CHIRS is a member agency of the Toronto
The application form can be
downloaded by clicking the link below.
Application forms can also be mailed upon request.
CHIRS services are offered on a subsidized and fee-for-service service
basis. All applicants requesting subsidy
will be required to complete an income disclosure as part of the application
Individuals accessing services
with third party funding should also complete the above application form, but
must forward it with the relevant medical documentation directly to CHIRS
by fax, mail or email.
Once all the information is received, we
will contact you to set up a screening interview with an Intake Facilitator who
will then bring the request to the CHIRS Intake Committee for review. A letter will be sent to the individual
and/or referring agent with the decision of the Intake Committee. If you and/or the referring agent are dissatisfied
with the decision of the Intake Committee, we will provide you with information
For further information please contact:
CHIRS Intake Services
Fax: (416) 240-1149