Everybody needs respite. Some need respite care.
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Family Registration
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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 Peel, 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 would prefer to submit the forms by mail or Fax, please print the following three forms:
Family Registration Form - Printer Friendly Forms
Consent Form
Release Regarding CHAP Worker- if you are applying to the CHAP Program
Some Things to Know About Me! An Introduction for My Respite Worker
Some Things to Know About Me! (French Version)
Mail to:
respiteservices.com Peel
#103 - 75 Watline Avenue Mississauga, ON, L4Z 3E5
Phone: 905 507 9360 ext. 325
Fax: 905 890 8325
TTY: 905 890 8089
From Caledon: 1 888 836 5550
NOTE: You must submit the CHAP Family Registration, Consent and the Release Regarding CHAP Worker form (If registering to the CHAP Program) in order for your application to be processed.
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