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Family Registration

Register Online

The purpose of the  Direct Respite Provider registry is to make the process of recruiting and contracting direct respite providers easier for families. Once your registration is received, an Direct Funding Coordinator will contact you to confirm your request for in-home support. The Direct Respite Provider registry will then be a resource to you for selecting your own Direct Respite Provider. The names of suitable direct respite providers will be provided to you as they become available.

The Direct Respite Provider registry will not make referrals of workers but will facilitate connecting families with various Direct Respite Providers based on the families' needs and the workers' availability and skills. You independently hire the worker. It is important to understand that a worker is not an employee of the Direct Respite Provider registry. They are your employee. It is up to you to screen, select, interview and engage your worker(s).

Please contact an Direct Funding Coordinator as soon as you have hired a direct respite provider, 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 worker profiles provided are those that match your current need.

The following are two versions of our Family Registration:

  1. If you wish to complete the form and submit it online, please use the: Online Registration Form
  2. If you would prefer to submit the forms by mail or fax, please print the following forms:

**NOTE: You must submit the Family Registration, Consent and the Release Regarding Direct Respite Provider form (If registering to the Direct Respite Provider registry) in order for your application to be processed.

Family Registration Form - Printer Friendly Form
Consent Form - Printer Friendly Form
Release Regarding Independent Respite Provider - Printer Friendly Form

Mail to: Thunder Bay
#210-1703 E. Victoria Avenue
Thunder Bay, ON P7C 1C8
FAX Number - (807) 623-6413

If you have previously registered with, and have a received a username and password, please login to access your registration information.

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