Click on the links below to view and print important forms.
Once your Application is complete, you will also need to submit an Emergency Form, initial and Sign our Child Care Policies, and have your Physician complete the Health Status and send in an updated Immunization Form. Depending on your child’s needs we may also need Medication Orders and Care Plans from your physician as well.
We have 3 ways to pay:
- Private pay beginning at $13/hour
- CES Waiver for Respite Care, Personal Care, and Community Connector
- CCCAP at the disability rate.
Rates and payment options will be discussed with a director at the initial meeting. Click here for more information about funding assistance for respite care.