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Ontario Emergency Secure Treatment Admission (ON00325E)

Ontario uses form ON00325E to apply to the person in charge of a secure treatment program for a child's emergency admission under subsection 171(1) of the Child, Youth and Family Services Act, 2017. The applicant states the main facts relied on, referring to the emergency admission criteria in subsections 171(2) or (3). Consents from the child, parent or Children's Aid Society are added when the criterion in clause 171(2)(b) is not met.

Who completes it

The applicant completes and signs it: for a child under 16, a parent, a person caring for the child with the parent's consent, a child protection worker or a Children's Aid Society officer; for a child aged 16 or 17, the child, a parent, a CAS officer or a physician. The child and the child's lawyer are identified on page 1.

Submitting and payment

How to submit it
The application is addressed to the person in charge of the secure treatment program named on page 2, with extra pages attached if the grounds need more space.

Good to know

  • A physician can be the applicant only when the child is 16 or older and under 18; for younger children, a parent, caregiver, child protection worker or CAS officer applies.
  • The grounds must state the main facts relied on, with specific reference to the criteria for emergency admission in subsections 171(2) or (3) of the Act.
  • If the criterion in clause 171(2)(b) is not met, the child signs a consent after legal advice, and for a child under 16 a parent or the CAS also consents.
  • Related forms in the same series are the Emergency Admission to Secure Treatment Program (ON00326) and the Review of Emergency Admission (ON00328).

Get the official form

Download the current version from the source each time; forms change without notice.

Application for Emergency Admission to Secure Treatment Program

Demande de placement d'urgence dans un programme de traitement en milieu fermé

Official pagePDFVersion française

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A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms change without notice, so download the current version from the official page before you fill it in.

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Frequently asked questions

Can a physician apply for a child's emergency admission to secure treatment in Ontario?

Yes, but only for a child who is 16 or older and under 18. Form ON00325E lists the child, the child's parent, a Children's Aid Society officer with custody, or a physician as applicants in that age group; for younger children, a physician is not on the list.

Is ON00325E available in French?

Yes. The Central Forms Repository posts the French version, Demande de placement d'urgence dans un programme de traitement en milieu fermé (ON00325F), alongside the English form. The current English edition is ON00325E (2022/12), a fillable PDF.

What does the child's consent section require?

When the criterion in clause 171(2)(b) of the Act is not met, the child signs a statement that they have had legal advice and consent to the emergency admission. If the child is under 16, a parent or the Children's Aid Society with lawful custody must also consent.