COVID-19 Provisional Family Respite Application

COVID-19 RESPITE SERVICES' PROCESS FOR PROVISIONAL FAMILY APPLICATION

During the COVID-19 crisis, we have expedited the application process for families to receive respite as additional support through this time. Completed application materials can be emailed to the Respite Program at respite@namimaine.org or faxed to 621-8430. If you need to mail it through the postal system, please call our office at 800-464-5767 x2314 to confirm our office will be open to receive it.  

If you are applying for more than one child to be approved in the respite program, please complete the form below for any additional children. All Provisional Child Information Supplements must come with a provisional family application to be accepted.

QUESTIONS? CONTACT THE NAMI MAINE FAMILY RESPITE TEAM:

Phone: (800) 464-5767 x2314
Fax: (207) 621-8430
Email: respite@namimaine.org
Mailing Address: 52 Water Street, Hallowell, Maine 04347