respiteservices.com

Family Registration

If you have previously registered with respiteservices.com, and have a received a username and password, please login to access your registration information.

If you are interested in accessing respite information and services in Halton, and do not have a username and password, please complete the family registration form.

Your completed registration will be received by a respiteservices.com staff and you will be contacted.

You may submit your registration form in one of two ways:

• If you wish to complete the form and submit it online, please use the:
  Online Registration Form

• If you would prefer to submit the forms by mail or Fax, please print the following forms:
  
  Family Registration Form - Printer Friendly Forms  
  
  Consent Form

         Support Worker Referral Agreement Form.pdf   Required if you are applying to receive 

         worker profiles from the Support Worker Database 

          Mail to:

Halton Support Services/respiteservices.com
53 Bond Street
Oakville, Ontario
L6K 1L8

Fax # 905 849 6980

Email: respite@haltonsupportservices.ca

Note**You must return  the Family Registration Form, the Support Worker Referral Agreement Form and the Consent Form in order to register.**