Respite Provider Information

To Register as a Respite Provider Online

If you are interested in applying to become a respite provider, please complete the online application below. Only qualified applicants will be contacted.

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

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]


[ppm:alt id=559] Adobe Acrobat Reader is required for viewing [PDF] files. Please click here to visit the Adobe website and download the viewer (free). NOTE: Clicking on this link will open a new browser window.

Copyright © 2019 All rights reserved. Terms of Use | Privacy Policy