KS NEUROAFFIRMING COLLECTIVE BC Children and Youth Disability Benefit
Family Information Form This form helps your clinician prepare a strong clinical support letter for your child's Disability Benefit application. Please answer as completely as you can — there are no wrong answers. ⚠️ Information gathering deadline: Summer 2026. Eligibility review begins Fall/Winter 2026–27. Current Autism Funding continues until March 31, 2027. Step 1 of 5 1 Child & Family Information Child's Legal First Name * Child's Legal Last Name * Date of Birth * Gender (as recorded) Select... Male Female Non-binary / gender diverse Prefer not to say Parent / Guardian Name * Relationship to Child Select... Mother Father Legal Guardian Other caregiver Phone Email * City / Region (BC) Next: Diagnoses & Professionals →