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CDS - Referral and Intake Application Form

This form is used to apply for Children's disABILITY Services and it may be completed by a parent or legal guardian, an agency or individual that supports the family. Completed forms, along with written diagnostic assessment, are submitted to Children's disABILITY Services.

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Department/Crown website

Main Office

Children's disABILITY Services, Families 205- 114 Garry St
Winnipeg , Manitoba R3C 4V4
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T: 204-945-5898
F: 204-945-5668

Winnipeg Office(s)

Winnipeg
Family Support Services | SSCY Centre
1155 Notre Dame Ave
Winnipeg , Manitoba R3E 3G1
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T: 204-945-8311 or 204-945-0327
F: 204-948-4788

Children’s disABILITY Services
2nd Floor - 111 Rorie St
Winnipeg , Manitoba R3B 3N1
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T: 204-948-4001
F: 204-948-4511
TTY:204-948-4299

Rural Manitoba Office(s)

20 1st St S, Box 50
Provincial Building
Beausejour , Manitoba R0E 0C0
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T: 204-268-6028
1-866-576-8546 (in Manitoba)
F: 204-268-6222

Selkirk
101 - 446 Main St
Provincial Building
Selkirk , Manitoba R1A 1V7
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T: 204-785-5106
1-866-475-0215 (in Manitoba)
F: 204-785-5106

2nd Floor, 340 9th St
Provincial Building
Brandon , Manitoba R7A 6C2
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T: 204-726-6336
1-866-726-6438 (in Manitoba)
F: 204-720-7711

242 - 323 Main St
Steinbach Place
Steinbach , Manitoba R5G 1Z2
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T: 204-346-6390
1-866-682-9782 (in Manitoba)
F: 204-326-9948

Dauphin
309 – 27 2nd Avenue SW
Dauphin , Manitoba R7N 3E5
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T: 204-622-2035
1-866-355-3494 (in Manitoba)
F: 204-638-3278

1431 - 1st St N, Box 997
Swan River , Manitoba R0L 1Z0
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T: 204-734-3491
1-888-269-6498 (in Manitoba)
F: 204-734-5615

Flin Flon District Office, Northern Region
102 - 143 Main St, Barrow Provincial Building
Flin Flon , Manitoba R8A 1K2
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T: 204-687-1700
1-866-443-2291 (in Manitoba)
F: 204-687-1708

The Pas District Office, Northern Region
3rd St and Ross Ave, Box 2550, Provincial Building
The Pas , Manitoba R9A 1M4
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T: 204-627-8311
1-866-443-2292 (in Manitoba)
F: 204-627-5792

Morden
290 North Railway St
Morden , Manitoba R6M 1S7
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T: 204-822-2861
1-888-310-0568 (in Manitoba)
F: 204-822-2879

59 Elizabeth Dr, Box 5
Provincial Building
Thompson , Manitoba R8N 1X4
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T: 204-677-6570
F: 204-677-6517
1-866-677-6713 (in Manitoba)

1st Floor, 25 Tupper St N
Provincial Building
Portage la Prairie , Manitoba R1N 3K1
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T: 204-239-3092
1-866-513-2185 (in Manitoba)
F: 204-239-3198

Department/Crown: Families

Categories: Application , Families , Youth