Respite Provider Information

To Register as a Respite Provider Online

If you are interested in becoming a respite provider and have completed the screening process please register by clicking on the link provided

Online Respite Provider Application

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

 Respite Provider Application Form [ppm:alt id=558]

 Respite Provider Consent Form [ppm:alt id=558]

 Respite Provider/Direct Service Provider Agreement and release

You can mail completed forms to:
Family Respite Services
3295 Quality Way
Windsor, ON
N8T 3R9

If you have not completed the screening process please contact Alexandria Fischer
519-972-9688 x 156
or
afischer@familyrespite.org

To assist Respite Providers who have registered for the the Respite Provider Registry, the following information package has been put together for informational purposes.

Respite Provider Information Package [ppm:alt id=558]

 

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