The Wellness Fund

Referral Form

Illustration of two adults and a child playing in garden

Eligibility for Oona's Wellness Fund

To be considered for the Wellness Fund, we ask that clients be referred by their primary care provider or midwife. This helps us connect with families who will benefit most from Oona’s caring support.

To qualify, you’ll need to meet these criteria:

  • Have a total family income of $45,000/year or less, and
  • Don’t have extended health benefits (like private or employer-provided insurance), and
  • Meet at least two of the following: 
  • BIPOC (Black, Indigenous or Person of Colour)
  • 2SLGBTQIA+
  • Life changing medical diagnosis
  • Any form of disability
  • Developmental delay of birthing person or baby
  • Underhoused (homeless) or living in shelter system
  • On Government Assistance
  • Refugee status
  • No immigration status
  • No family or outside support people
  • History of or current mental illness/mental health diagnosis
  • Victim or survivor of abuse/trauma
  • Child protection involvement
  • Substance use
  • No OHIP

We’ll ask for proof of your family’s income (like your most recent Notice of Assessment from your taxes) when you apply.

If you’d like to access our services, please speak with your primary care physician or midwife and ask them to
submit a referral form to Oona.

Important Details for Our Wellness Fund Families

  • Prenatal clients: Please use your approved appointments before your baby arrives
  • Postpartum clients: Approved appointments need to be completed within 90 days of approval
  • Missed appointments: If you can’t make an appointment, please let us know more than 48 hours before your appointment time. Missing appointments without adequate notice means we’ll need to remove you from the program so we can support other families

Referral Form

"*" indicates required fields

Referring Physician's Information

Referring Physician's Name*

Patient Information

Patient's Name*
MM slash DD slash YYYY

Location

Please choose the location that is closest to you*

Eligibility

Must meet the following 2 criteria*
Must meet a minimum of 2 of the following eligibility (check all that apply)**

Conditions

Check all that apply*

Services Required

Check all that apply*

Reason for Referral

This field is for validation purposes and should be left unchanged.

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