Toileting Support in Guelph

Occupational therapy to help children build toileting independence, at their own pace. No referral is needed to book.

Convenient Billing Available. No Referral Needed.

Convenient billing available with most major insurers

Canada Life
Chambers Of Commerce Group Insurance Plan
Claim Secure
Desjardins
Industrial Alliance
Johnston Group
Manion
Manulife
People Corporation
Rwam
Union Benefits

If you don’t see your provider listed, give us a call to confirm. Learn more about convenient billing.

Pediatric physiotherapy at Eramosa Physiotherapy Associates, Orangeville clinic

Occupational therapy to help children build toileting independence, at their own pace. No referral is needed to book.

Toileting is a developmental milestone most children reach in their own time, but for kids with cognitive, developmental, or physical needs, it can be delayed — and it isn’t always obvious how to help. Occupational therapy takes a holistic, individualized approach, combining practical strategies, adaptive equipment, and caregiver support to meet your child’s specific needs.

Assessment

Your occupational therapist evaluates:

  • Functional ability — your child’s current level of toileting independence, and any developmental, physical, cognitive, or environmental barriers
  • The bathroom environment — safety, accessibility, and whether your child’s sensory needs or equipment requirements are being met

Building a plan

Support typically combines:

  • A personalized toileting plan and routine, built around your child’s needs, abilities, and goals
  • Skills training across physical, cognitive, motor, and interoceptive skills — helping your child recognize their body’s cues
  • Adaptive equipment — raised toilet seats, grab bars, or toilet frames, recommended and customized to your child’s needs
  • Environmental modifications — bathroom or broader home changes that improve accessibility, such as grab bars, non-slip mats, or adjusting toilet height
  • Behavioural strategies — positive reinforcement and gentle prompting and cueing at regular intervals
  • Sensory strategies — addressing sensitivities that affect toileting, like the feel of toilet paper or the sound of flushing, along with calming techniques for kids who feel anxious about the bathroom
  • Caregiver education — practical guidance and ongoing support for parents managing sensory needs, skill-building, and any adaptive equipment

What to expect from your EPA for Kids occupational therapy experience

Path to Improved Health is the framework every Eramosa patient follows. We’ve used it to guide assessment, treatment, and recovery since 1997 — and it’s how we make sure nothing about your child’s care is left to chance.

Assessment

Your occupational therapist evaluates your child’s current toileting independence and any developmental, physical, cognitive, or environmental barriers, along with the bathroom setup itself.

A personalized plan

Your therapist builds a toileting plan and routine around your child’s needs, combining skills training, adaptive equipment, and behavioural or sensory strategies as needed.

Ongoing caregiver support

We provide practical training and ongoing support so you can confidently continue the plan at home.

Ready to Get Started?

Schedule Appointment

Book directly with the clinic and physiotherapist of your choice.

No referral needed
Convenient billing available
New Patients Welcome

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What Our Patients Are Saying

What our patients are saying

Trusted by 2,000+ patients annually for over 30 years.

Meet our EPA for Kids Team

Amanda Jones
Registered Physiotherapist
BSc Hon (Biomed), MSc (Med Sci), MSc (PT)
Orangeville
Carla Placido
Registered Physiotherapist/Clinic Director
BSc (PT), CAFCI
Cambridge – Hespeler
Emma Desrosiers-Solowy
Registered Physiotherapist
BSc Human Kinetics (University of Guelph), M.Sc. (P.T.) (University of Ottawa)
Guelph – Bullfrog Mall
Erica Malascalza
Registered Physiotherapist
Bachelor of Applied Science in Kinesiology – University of Guelph (2022); Diploma in Fitness & Health Promotion – Humber College (2022); Master of Science in Physiotherapy – McMaster University (2025)
Orangeville
Jessica Brooker
Registered Physiotherapist/Pediatric Physiotherapy Lead Associate
BSc (University of Waterloo), MSc (PT) (McMaster University)
Guelph – Bullfrog Mall
Mariya Waris
Registered Physiotherapist
BSc (PT)
Cambridge – Hespeler
Pankti Patel
Resident Physiotherapist
MSc Kinesiology, Pediatric Specialization (Nipissing University)
Elora
Tanvi Mangukiya
Registered Physiotherapist
BPT (Rajasthan University, 2018)
Guelph – Bullfrog Mall

Frequently Asked Questions

Get your questions answered

Common questions about toileting support at EPA. Still have questions?

No. You can book an occupational therapy assessment for your child directly with our clinic. Direct billing to most major insurers is also available.

Yes. Sensory sensitivities and anxiety around toileting — the feel of toilet paper, the sound of flushing, and similar triggers — are a common part of what we assess and address, alongside skill-building.

Where it helps, yes — things like raised toilet seats, grab bars, or toilet frames, customized to your child’s needs. Recommendations are always specific to what your child and bathroom actually require.

That’s exactly the kind of situation this support is built for. Your therapist assesses the specific developmental, physical, and cognitive factors involved and builds a plan around them.

It varies by child and by what’s contributing to the delay. Your therapist builds a personalized routine and tracks progress, adjusting the plan as your child’s skills develop.

Related Services

Other ways we can help

Picky Eaters
Occupational therapy support for children who are picky eaters — addressing the sensory, physical, and behavioural sides of mealtime. No referral is needed to book.
Child Pelvic Health
Support for bathroom accidents, bedwetting, constipation, and other bladder and bowel concerns in children — without an internal exam. No referral is needed to book.
Occupational Therapy for Kids
From fine motor skills and printing to sensory needs, attention, toileting, and picky eating — our pediatric occupational therapist helps kids build the skills they need for school, home, and play. No referral is needed to book.

Ready to get started?

Your Recovery Begins Here