Sanad Cross-Cultural Developmental Services Intake Form

Sanad Cross Cultural Developmental Services provides essential support and case management to children, youth, and adults with developmental disabilities in the Hamilton region. To be eligible, a diagnosis of a developmental disability must be provided. Although we work with all people, our culturally sensitive approach is tailored to support immigrants, newcomers, refugees, and the racialized community. By filling out this intake form, you can expect the support of a community service worker to help you/your client navigate ways to meet needs such as finding employment, housing, recreation opportunities, and much more. Please fill out this form for yourself or on behalf of the person(s) you are supporting, with their consent. 

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What is your date of birth? *
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Do you (or the person you are applying on behalf of) have a developmental disability? *
If you answered yes to the question above, please specify your diagnosis *
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