Help for a child | The Citizens Commission on Human Rights Canada

If your child or a child you know has been targeted for psychiatric treatment, has been assessed for a “learning or behavioural disorder” and perhaps prescribed drugs, we can help. Please fill out the following information so we may be of assistance.

You may download, print and mail the form to us, or you can fill out our online form below.

Click HERE to download the form.

Mail completed forms to:

CCHR Canada

#304-27 Carlton St.

Toronto, Ontario

M5B 1L2

ONLINE FORM

Please note that CCHR Canada keeps this information strictly confidential and does not share any of your information without your permission and direction, however when sending information over the internet there is always a degree of risk. If you prefer to print this form and send via Canada Post for better security, you may do that as well.

Please fill out all information as thoroughly as possible.

Your Name(required)
Email(valid email required)
Daytime phone
Evening phone
Mailing Address
Has your child or a child you know been labeled with a learning or behavioural disorder? If so please describe the circumstances and when this occurred:
What is your relationship to the child?
What were the effects of the drugs? (Please list any details)
What were the circumstances leading to the diagnosis?
Did the child undergo a physical medical exam prior to the psychiatric diagnosis?
Were you told about the known side effects, benefits and dangers of taking the drug; undergoing an alternative treatment or declining treatment?
Who was involved in diagnosing the child - name(s) and position(s)?
Were you forced or pressured in any way to agree to this treatment, if so please explain:
Is there anything else you would like to add?