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Introduction to Respite Services in Lanark County Registration Form
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Introduction to Respite Services in Lanark County Registration Form
Families of children with special needs often require a number of services to enhance the health, well-being and life quality of their child and family. Respite care is one such service. ConnectWell staff will inform you of the different types of respite services, discuss how to go about hiring your own respite worker, and steps to apply for funding. *Indicates a required field
Name
(Required)
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Last
Email
(Required)
Consent
(Required)
I consent to receiving email regarding this service
Phone
(Required)
Childs Name
(Required)
Birth Date
(Required)
MM slash DD slash YYYY
OAP #
If you don’t know your OAP number you can find it within the content of your OAP registration confirmation or the top right hand corner of your funding letter. If you are a previous client of our program we may have it on file to share with you, please contact Paula Coleman 613-257-7619 ext. 3722) or you can contact the OAP directly at 1-888-444-4530
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