Phone: 416-224-5959
Fax: 416-224-2772

Tax implication response

We sometimes receive questions from families asking if the services/programs their child receives through ISAND have tax implications for them. We asked our tax advisors to try to summarize the tax impact associated with a family’s involvement with Programs and Services at ISAND. As the information provided is general in nature, it will not be applicable to everyone. Please seek advice from an accountant or tax specialists to make sure your individual circumstances are considered.

This information highlights the three areas of: Disability Tax Credits; Childcare Expense Deduction; and Medical Expense Tax Credits.

Disability tax credit and other associated benefits

Whether a child can qualify for the disability tax credit depends on whether they have a disability which fits with CRA’s criteria for claiming the credit and other associated benefits. A child’s participation in an intervention program along with reports and documentation provided by ISAND will support the application for the disability credit. However, it is mainly the responsibility of the qualified medical practitioner who is completing the application on behalf of the parents to attest to the child’s disability.

Childcare expense deduction

The general requirements for an expense to qualify as deductible childcare expenses include the following:

  1. Eligible child – The child for whom the expense was incurred must be a child or dependent of the taxpayer or their spouse
  2. Expenses to enable undertaking of specific activities – The expense must enable the taxpayer or a supporting person residing with the eligible child to:
    • Perform duties of employment
    • Carry on business
    • Carry on research for which a grant is received
    • Attend secondary school or a designated educational institution
  3. Provider of childcare services – The expense must be incurred for services rendered for the care of children, certain items are listed as eligible. Below are some expenses which appear to be possibly relevant to ISAND Programs/Services:
    • Eligible childcare provider (i.e. Certain individuals or organization providing child care services)
    • An education institution for the purpose of providing childcare
  • This is not an exhaustive list of deductible expenses, and there are specific exclusions such as:
    • Amounts that would qualify for the medical expense credit (Discussed later on)
    • Cost of clothing, transport, or education, and
    • Cost of board and lodging, unless included in fees of a sports school, boarding school or summer camp, subject to certain limits

Whether any portions of program costs can be attributed to services for childcare rather than for medical (therapeutic) services or educational services will need to be determined.

Medical expense tax credit

Whether costs of the programs or services can be eligible for medical expense tax credits is dependent on whether costs can be attributed to the work of health care professionals recognized by the CRA as qualifying medical practitioners for purposes of the medical credit.

Generally, medical practitioners authorized by specific legislation to practice are recognized by the CRA for purposes of the medical credit and include:

  • Clinical Psychologist – Eligible, if licensed to practice under provincial law (e.g. College of Psychologists of Ontario)
  • Speech Pathologist – Eligible, if licensed to practice under provincial law (e.g. Certified by the Canadian Association of Speech-Language Pathologists and Audiologists (CASLPA) or a provincial affiliate)
  • Occupational Therapist – Eligible, if licensed to practice under provincial law (e.g. Member of the Canadian Association of Occupational Therapists)
  • Board Certified Behaviour Consultants (BCBA) – BCBAs are soon to be regulated in Ontario under the College of Psychologists. As they are currently unregulated, they would not qualify for the medical expense tax credit but may become eligible after regulation in Ontario.
  • Registered Behavioral Therapist (RBT) – As RBTs work in the field of Applied Behavioral Analysis (ABA) which is yet to be regulated in Ontario, they would not qualify for the medical expense tax credit similar to BCBAs.

If a child is eligible for the disability credit, claiming therapy costs under the program as medical credits might become easier. A separate provision under the Tax Act allows for claiming medical credits on therapy costs for a patient with ‘severe and prolonged impairment’, along with other requirements one of which is the therapy must be prescribed by and administered under the general supervision of a medical doctor or psychologist. Determination of whether the service or program meets these criteria (assuming disability credit eligibility) would be based on the facts of the situation (e.g. level of involvement in the supervision by a psychologist) and not solely based on whether a prescribed medical practitioner is involved at all in the program.

Community Resources

Autism Ontario

Autism Ontario is a charitable organization with a 46-year history of representing the thousands of people on the autism spectrum and their families across Ontario. Made up of knowledgeable parents, professionals, and autistic self-advocates, Autism Ontario is the province’s leading source of information and referral on autism and one of the largest collective voices representing the autism community.
The Autism Ontario website contains a vast collection of autism-related resources, including basic information, advocacy tool-kits, deep dives into specific topics, expert-led webinars, and access to autism professionals across Ontario.

Pediatric Dentistry at Holland Bloorview

Pediatric dentistry at Holland Bloorview provides general dental services, including cleanings and fillings, to children and young adults (ages birth to 22 years) with disabilities and/or complex medical needs, including autism spectrum disorder and anxiety.
In some cases, clients may be eligible for treatment under general anesthesia.
Their services are also offered to siblings of clients.

For more information about Holland Bloorview’s dental services, including their Cleft Lip and Palate/ Craniofacial Dental Program, visit

What Is a Birth Injury?

A birth injury describes any type of injury that a baby suffers before, during, or directly after childbirth.

Many babies suffer from minor injuries during delivery that do not need to be treated and often heal on their own in days or weeks. Some birth injuries can lead to more severe complications, resulting in your child having a disability for the rest of their life.

Birth Defects vs Birth Injuries

There is a significant difference between birth defects and birth injuries. The main differentiator between a birth defect and a birth injury is how they develop.

Birth Defects

Abnormalities that typically form while a child is still in the womb. According to the Centers for Disease Control and Prevention (CDC), birth defects typically develop within the first three months of pregnancy. Factors such as drug use, family medical history, and untreated infections may increase the risk of birth defects.

Birth Injuries

Generally happen when the child is being born. Common injuries that occur during childbirth include physical head trauma and brain bleeds.

Birth Injury Causes

Birth injuries can be a result of brain damage caused by several risk factors and conditions during childbirth. Each cause is distinct and can lead to different types of birth injuries.

Read More

Getting Ready for Your Appointment

We know that going to new places, and meeting new people, can cause worry and stress.  Read one of these stories ahead of your visit, at a time when your child is calm and attentive.  Together you will see photos of our offices, learn about some activities, and see other children having fun here.  The story can help you and your child get familiar with ISAND.  Read it a few times before you come, and talk about what might happen during the visit.  It helps to know more ahead of the appointment, and then the new things do not seem so scary! If you haven’t contacted us already, start by sending us an Intake Form. To find out more, visit our Team page to meet our staff members.

To learn about how social narratives can help your child make sense of new experiences, click here:

To create your own social narratives, visit:

We look forward to seeing you soon!

COVID updates December 2021

The latest wave of the Corona Virus – COVID 19 – has arrived in Ontario with the newly discovered Omicron Variant showing up in several cases across the province. Early details suggest that current vaccines won’t stop this variant, however, social distancing, isolation and the proper use of Personal Protective Equipment (PPE) will help to minimize the impact.

At this time, we will continue with in-person appointments following the screening, cleaning/disinfecting, PPE and space protocols that have been successful to date. If we receive new guidelines from Toronto Public Health or the Province that impact on our ability to provide service, notices will be sent out.

Please continue to check this area of the website for updates.

Tax implication response

We sometimes receive questions from families asking if the services/programs their child receives through ISAND have tax implications for them. We asked our tax advisors to try to summarize the tax impact associated with a family’s involvement with Programs and Services at ISAND. As the information provided is general in nature, it will not be applicable to everyone. Please seek advice from an accountant or tax specialists to make sure your individual circumstances are considered.

This information highlights the three areas of: Disability Tax Credits; Childcare Expense Deduction; and Medical Expense Tax Credits. Read More

Psychological Assessments

ISAND provides three different types of Psychological Assessments conducted by a licensed Psychologist, a Psychometrist in conjunction with a Psychologist, or a Psychologist under supervised practice.

Each assessment has these same four components:

  1. History – this meeting involves the clinician and the family (and may include the child)
  2. Assessment – the clinician will conduct a series of tests and observations with the child over at least two appointments
  3. Feedback – the clinician will meet with the family to talk about initial findings
  4. Report – the clinician will provide a written report outlining the assessment and observation results and will provide a diagnosis

The three assessments are:

  1. Under five years of age ASD Query
    • The assessment takes ten hours to complete
    • Cost: $2,400.00
  1. Over five years of age Psych-Educational Assessment
    • The assessment takes fourteen and one half hours to complete
    • Cost: $3,480.00
  1. Over five years of age ASD and Psycho-Educational Assessment
    • The assessment takes sixteen hours to complete
    • Cost: $3,840.00

If you have workplace benefit coverage, we suggest that you share this information with them before setting up an appointment.

COVID – 19 Walk-in Vaccination clinics are taking place close by at

  • ·Seneca College Pfizer Clinic (1750 Finch Ave.) – Thursday, July 29th
    • First and second dose appointments available for anyone 12+ who live, work, or go to school in any M postal code
    • First dose walk-ins available from 8:30 am – 3:30 pm
  • ·North York General Hospital Clinic (4001 Leslie St.) – Monday to Friday
    • Pfizer first and second dose appointments available Monday to Friday for anyone 12+
    • Moderna first or second dose appointments available Wednesdays for anyone 18+
    • Walk-ins available 8:00 am – 3:00 pm

Speech-Language Pathologist

Job description

Are you looking for a professional challenge? Do you want to be part of an integrated team of professionals helping families by providing hands-on therapies to children and young adults living with autism or other neurodevelopmental disorders? You can be part of our story. At ISAND, we’re passionate about providing the highest level of service to produce the best possible outcomes for young people and their families.

ISAND is a unique Toronto-based registered non-profit organization, offering integrated multi-disciplinary care for children, youth and young adults with autism and other neurodevelopmental disorders.  Our team includes clinicians from the following disciplines: Medicine, Psychology, Speech & Language Therapy, Behavioural Therapy, Occupational Therapy, Social Work, Nutrition, and Education. Clinicians work as independent private practitioners, working as part of a registered non-profit organization.

Working at ISAND offers clinicians work as private practitioners with flexibility to set one’s own hours, access to the expertise of a team who specialize in Autism Care, and opportunities for professional growth and development.  ISAND offers competitive wages in the autism field and a supportive environment. To learn more about ISAND, visit


POSITION: Speech-Language Pathologist

EMPLOYMENT STATUS: Independent Contractor

LOCATION: Toronto (Yonge/Finch)

HOURS of WORK: Flexible self-scheduling with the ability to build caseload size.


As an Independent Contractor, you will maintain professional autonomy while being part of a multidisciplinary team of registered and allied health professionals dedicated to delivering the highest standard of care. The successful candidate will provide speech and language assessment and therapy in the clinic, the client’s home, daycare, school or other community location offering virtual and in-person options. The SLP will work with children with ASD and/or other Neurodevelopmental Disorders and their families individually and in groups.


  • Provide consultation, assessment, planning and intervention activities
  • Develop and provide SLP interventions to clients: individually and in small groups; in-centre and community-based settings; in-person and via virtual care platform (i.e. Zoom)
  • Collaborate with clinicians within and across disciplines to ensure high-quality, integrated client care
  • Participate in regular clinical team meetings and assist in the development of creative solutions to family challenges
  • Provide parent coaching, feedback and support
  • Support positive working relationships among clinical and administrative teams, client families, and community professionals


  • Minimum of 3 years of experience working with adolescents, and school aged children with autism spectrum disorder and other neurodevelopmental disorders;
  • Education: Master’s Degree in SLP;
  • CASLPO registration, in good standing;
  • Specific training and/or experience in the area of social skills intervention, Social Thinking ® methodology preferred;
  • Knowledge of or experience with: AAC; Hanen; higher-level literacy training considered an asset;
  • Experience in the areas of: motor speech; language; and functional communication;
  • Demonstrated ability to provide both in-person and virtual interventions for individuals and small groups;
  • Experience working in an interdisciplinary team setting;
  • Excellent verbal and written communication skills;
  • Demonstrated experience providing coaching, feedback and support to families;
  • Strong self-motivation, enthusiasm and creativity with a willingness to explore novel program development, and collaborative problem solving;
  • Current Vulnerable Sector and Police Check and ability to travel to home and community-based settings;
  • Willingness to work evenings and/or weekends in-person or virtual, as requested by clients;
  • Proof of Professional Liability Insurance;
  • Experience working with adults with ASD is considered an asset;
  • Experience providing supervision to CDA, or student placements is considered an asset

If you are inspired to join our team in helping to meet the needs of children with ASD and other neurodevelopmental disorders, along with their families, and are ready to contribute to a dynamic organization, please email a single file (Word or PDF format) with your resume along with a cover letter to

ISAND strives to create an accommodating and inclusive workplace and we commit to merit, transparency and inclusivity in our recruitment processes to ensure equal opportunity for all of our applicants. We thank all applicants for their interest. However, only those selected for an interview will be contacted.

Job Types: Full-time, Part-time, Permanent

Salary: $101.25-$120.00 per hour

COVID-19 considerations:
We are currently providing services through a mix of virtual and in-person sessions and are following all COVID-19 regulatory protocols.

Auticon-Deloitte Employment Survey

Auticon Canada in partnership with Deloitte is conducting a survey to understand the state of autism employment in

This study aims to examine the impacts of engaging this untapped pool and shine a light on the opportunities for
companies to employ people with autism to address their talent shortfalls.

Should you choose to participate, you will be directed to a survey by Modus Research. Your participation in this
survey is appreciated and will inform our recommendations to Canadian companies about hiring from the autism

Your responses will be kept strictly confidential and will only be reported in anonymized form.

This survey should take about 10 minutes to complete.

To start the survey, please click the following link:

Thank you in advance for taking the time to complete the survey.