Doctor's Forms

Have your doctor complete a simple form to get a grant.

Doctor having a discussion with a patient

Doctor's Forms

If you are a doctor for a person with a disability, please complete the appropriate forms below that matches their disability. You can only complete the form with the unique client code that was shared with to you.

Psychiatric Evaluation

This form is to be completed by Psychiatrist

Psychiatric Evaluation

This form is to be completed by Psychiatrist

Intelligence and Cognitive Assessment

This form is to be completed by Registered Psychologist (e.g. Educational or Clinical)

Intelligence and CognitiveAssessment

This form is to be completed by Registered Psychologist (e.g. Educational or Clinical)

Hearing and Visual Assessment

This form is to be completed by an Audiologist/ Approved Clinician, or an Ophthalmologist

Hearing and Visual Assessment

This form is to be completed by an Audiologist/ Approved Clinician, or an Ophthalmologist

Speech Assessment

This form is to be completed by Speech-Language Pathologist

Speech Assessment

This form is to be completed by a Speech-Language Pathologist

Functional Assessment (Physical)

This form is to be completed by General Practitioner/Orthopedic Specialist

Functional Assessment (Physical)

This form is to be completed by General Practitioner/ Orthopedic Specialist