Crossings

Care for children new to Canada.

A child who has just arrived often needs catch-up vaccines, a careful look at development and mental health, and a way into a system no one has explained. Crossings organizes that first assessment for primary care providers in one place.

Step 1 of 2

Tell me about the child.

Set this once. Everything in the assessment — milestones, catch-up vaccines, screening, and referrals — adapts to what you enter here.

The child

Age drives the milestone bands and the immunization framework; gestational age sets corrected age for preterm infants.

Initials / ID (optional)

Date of birth *

Age

Sex *

Gestational age at birth

Origin & records

Region of origin tailors the screening panel; records status decides whether to treat the child as un-immunized.

Region of origin *

Immunization records

Conditions & flags

Select any that apply. These open targeted pathways — preterm follow-up, autism and cerebral-palsy criteria, and risk-based vaccines.

You can change any of this later from the assessment.

Module 01

Development & conditions

Milestones checklist by age (corrected for prematurity) for major milestones red flags, plus targeted cerebral-palsy and autism.

Module 02

Growth & nutrition

Plot weight, height and head circumference (if less than 36 months) on growth chart for corrected age.

Module 03

Immunization catch-up

Ontario-specific catch-up vaccination tables based on NACI guidelines. Always consult and recheck with most updated local province and NACI guidelines. This tool is not updated regularly.

Module 04

Region screening

A screening panel for universal newcomer screens plus the region-specific additions.

Module 05

Resources & referrals

A list of local province support programs.

Module 06

Mental health

Mental-health resources for newcomer children, youth, and families in the Greater Toronto Area.

Module 07

Concise care approach

Your responses turned into a prioritized, five-phase action plan. Open it as a one-page report to print, save as PDF, or copy into the chart.

Decision support, not a substitute for clinical judgment. This tool summarizes published Canadian guidance to help organize an initial visit. It is not a diagnostic device and does not replace the official NACI / provincial schedules, the Canadian Immunization Guide, or specialist consultation. Always verify catch-up plans against current provincial schedules, and involve a trained interpreter when there is a language barrier.

Sources: Canadian Paediatric Society — Caring for Kids New to Canada (Immunizations, Medical Assessment, Health by Region); CPS autism statements — Early detection, Diagnostic assessment, Post-diagnostic care; CPS — Follow-up of the extremely preterm infant; Novak et al. / CP early detection (GMA · HINE · MRI); Scharf RJ et al., Developmental Milestones, Pediatrics in Review 2016;37(1):25 (milestone & red-flag tables); Pottie et al., Evidence-based clinical guidelines for immigrants and refugees (CMAJ 2011, CCIRH); PHAC — Canadian Immunization Guide & interactive catch-up tool; Ontario routine immunization schedule & Publicly Funded Immunization Schedules for Ontario; Ontario Preschool Speech and Language Program; AccessOAP · Holland Bloorview · CCIRH country e-checklist. Verify against live schedules and current statements before acting.

Give to the family