Service Information

Short Stay Respite: Central Registry Intake
Organization: Central Registry > Nucleus Independent Living
Description: Provides assistance in connecting clients with a variety of services from local community agencies. Services include out-of-home caregiver respite.

Are these eligibility requirements met?

Care Recipient does not require 24 hours supervision.
Care Recipient is agreeable to Short Stay (daily
intermittent care).
Care Recipient does not pose a risk to self or others.
Care Recipient does not require specialized behavioural care or
mental health support (physically combative, verbally
abusive etc.).
Minimum Age: 18 yrs
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Care Recipient Information

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What is the preferred Language?

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Is an interpreter required?

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Primary Caregiver
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Email (Confirmation and reminder emails will be sent here)

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Lives with Care Recipient?

What is the preferred Language?

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Is an interpreter required?

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Referral Source
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Health Information
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Please list and describe any allergies

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Additional Information

Attach RAI and other applicable documents here.

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Summary

Reference #: -
  • Registrant:
  • Organization:
    Central Registry > Nucleus Independent Living
    Service:
    Short Stay Respite: Central Registry Intake
    Inquiry Phone:
    1 (905) 281-4443

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