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CHAP Family Registration

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The purpose of the CHAP Program is to make the process of recruiting and contracting support workers easier for families. Once your registration is received, a  Program Coordinator  will contact you to confirm your request for in-home support. The CHAP Program will then be a resource to you for selecting your own CHAP worker. The names of suitable workers will be provided to you as they become available.

The CHAP Program will not make referrals of workers but will facilitate connecting families with various CHAP workers based on the families' needs and the workers' availability and skills. You independently hire the worker. It is important to understand that a worker is not an employee of the CHAP Program. They are your employee. It is up to you to select, interview and hire your worker(s).

Please contact a Program Coordinator as soon as you have hired a worker, if your needs have changed, if you no longer wish to receive names but would like to remain on the registry or if you would like to be removed from the registry. This will ensure that your information remains current and worker profiles provided are those that match your current need.

The following are two versions of our Family Registration:

  • Online Family Registration
    Please Note:  Make sure you select "Respite Worker" from the "Type of Respite Support Requested" option if you are looking for a CHAP Worker.
  • 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 the Haliburton,  Kawartha, Peterborough or Northumberland area, (including CHAP) and do not have a username and password, please complete the family online registration form.

If you would prefer to submit the forms by mail or Fax, please print the following forms:

NOTE: You must submit the Family Registration, Consent and the Release Regarding CHAP Worker form (which follows the submission of the application form) in order for your application to be processed.

Mail to:

CHAP Program

Northumberland Family Respite Service
72 Walton Street
Port Hope, Ontario
L1A 1N3

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