Welcome to the Family Respite program!
The following documents will help you apply to receive respite services. When submitting an application for respite services, be sure to include a copy of your child(ren)’s most recent comprehensive evaluation/assessment (less than a year old) and income verification- a copy of last year’s tax return or copies of letters of eligibility from the state. For evaluations that are more than a year old, include a letter from your child’s clinician stating that treatment and behavior plans are in line with the evaluation. We’ve tried to keep these forms user-friendly but if you have any questions, please call us at 622-5767.
***If you currently have a respite worker (a friend, family member, etc.) that you would like to continue to work with, please encourage that person to contact us and begin their application process to become a NAMI Maine Respite Provider.
|Let us introduce you to the Family Respite Program! Families qualify for 24 hours of respite per month and you choose who you want as a provider - a friend, relative or one of our fully qualified providers. This is basic information we need to know about how to contact you. Please be sure to include your email address!||Complete Family Respite Application|
|This form is required and helps us determine whether you qualify for for a co-pay. Please include a copy of last year's tax return, eligibility documents or bank statements with the form. |