Family Registration

The purpose of the CHAP Program is to make the process of recruiting Respite Contractors easier for families. Once your registration is received, an Access Facilitator/Coordinator will contact you to confirm your request. The CHAP Program will then be a resource to you for selecting your own Respite Contractor. The names of suitable Respite Contracotrs will be provided to you as they become available.

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

Please contact an Respite Coordinator as soon as you have hired a Respite Contractor, 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 the contractor's profiles provided are those that match your current need.

The following are two versions of our Family Registration:

• Online Family Registration
  

  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 and do not have a username and password, please complete the family online registration form.

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

• If you would prefer to submit the forms by mail or Fax, please print the following forms:
  CHAP Family Registration - Mail/Fax  [PDF]
  Consent - Mail/Fax [PDF] 
  Release Regarding Respite Contractor - Mail/Fax [PDF]

Mail to:

Muskoka District includes:

North Muskoka covers:
Novar, Huntsville, Port Sydney, Baysville, Dorset, Dwight and points between.
South Muskoka covers:
Bracebridge, Gravenhurst, Port Severn, Honey Harbour, MacTier and points between.
For more information please contact:
Krista Haiduk-Collier
Director of Supports and Services
Phone: (705) 645-5494 ext. 226
Fax: (705) 645-4621
Email: khaiduk@clsm.on.ca

Parry Sound District Includes:

East Parry Sound covers:
Sundridge, South River, Callander, Burk's Falls, Emsdale, Kearney, Magnetawan, and points between.
West Parry Sound covers:
Britt, Dunchurch, Parry Sound, Humphrey, Rosseau, and point between.
For more information please contact:
Kathy Pastoor
Respite Facilitator
Phone: (705) 746-9330
Fax: (705) 746-6151
Email: kpastoor@clps.ca

Nipissing District Includes:

Mattawa, North Bay, Redbridge, Temagami, Thorne, West Nipissing and points between.
For more information please contact:
Manon Dubois Supervisor /Planning and Coordination
214 Second Ave West North Bay, ON P1B 3K9
Phone: (705) 476-5117 ext.230
mdubois@clnb.org

  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.