@ Ménard, Martin Avocats (Soctlé en nom collect) Me Jean-Pierre Ménard 514-253-8044 ext. 597 menardip@menardmartinavocats.com May 29th, 2017 WITHOUT PREJUDICE BY FAX: (514) 593-3982 Ms. Sonia Bélanger Chief Executive Officer CIUSSS du Centre-Sud-de-I’Tle-de-Montréal 155, boulevard Saint-Joseph Est Montréal (QC) H2T 114 Subject: Charlotte Kuhn (DDN : 24.01.2011) Ms. Bélanger, We are writing to you on behalf of Mr. Samuel Kuhn and Ms. Lynn Buchanan, in their capacity as the parents of minor child Charlotte Kuhn, On August 6", 2015, Charlotte was diagnosed with Autism Spectrum Disorder, a severe speech delay, a severe receptive and expressive language delay through an assessment conducted by See Things My Way. The assessment recommended that Charlotte be provided with all the available resources for children diagnosed with autism spectrum disorder, including special education, speech-language pathology and occupational therapy. The assessment further recommended that CRDITED provide adapted services for Charlotie’s diagnosis “as quickly as possible”, given the importance of early stimulation in the development of autistic children, Despite these recommendations, Charlotte has not, to this day, received any services from CRDITED. On March 22", 2017, over 19 months after Charlotte’s initial diagnosis, our clients finally received an offer of services from CRDITED to be coordinated with CROM. However, the information provided at that time as to the specific nature and scope of the services offered was vague, despite repeated inquiries by our clients for details and a timeline 50, Hochelaga, Montegal (Québec) HIV IES (514) 253-8044 . Télécopicur; (514) 253-9404 Adresse électronique: menardmarlin@menardmarlinavocals.com a4 Telephon Sites internet : wwwamenardmartinavocats.com ef www.vosdroilsensante.comOn May 18", 2017, our clients were contacted again by CRDITED and were informed that Charlotte could receive speech therapy within three months and occupational therapy within six months, but that she could not receive both at the same time, in contravention to the recommendations from Charlotte's assessment. This service allocation process is a clear violation of the Aer Respecting Health and Social Services (ARHSS). Charlotte is entitled to the services required by her condition. The necessity of these services was confirmed by the assessment made when our clients solicited services with your institution, Nothing in the law allows your institution to limit access to services required by a person’s condition on the motive that this person is already receiving a part of the services she needs. Your mandate under the law is to treat patients as a whole, rather than on a piece by piece basis. Finally, we remind you that under section 3(2) of the ARIISS, our clients are entitled “be treated, in every intervention, with courtesy, fairness and understanding, and with respect for [their] dignity, autonomy, needs and safety”. The numerous administrative hurdles faced by our clients and the consistent refusal to offer Charlotte the services that she needs are a cleat violation of our clients’ rights under the ARHSS. This policy of refusing services required by a patient’s state on the basis that she is already receiving another service also required by her state must end immediately. Such a practice is harmful to the health, safety and well-being of the patients who need such services, Because of your institution’s neglect, Charlotte has already missed a critical time window for carly stimulation, It is now imperative for her to receive the full services required by her condition as soon as possible. Please act accordingly. MENARD, MARTIN, Jean-Pierre Ménard, Ad. E.