Respite Interest Form
Please fill out this form to the best of your ability for anyone you think may benefit from Respite. This form can take about 5 minutes to complete. Please note that Integral Care Staff will be in contact within 3 business days. This form will not allow earlier requests.
For Respite to be provided, the individual must meet the following requirements:
- Must have an intellectual and/or developmental disability diagnosis
- Be actively enrolled in Integral Care IDD Services
- Resident of Travis County
- Lives with family/caregiver in own home/family home
- Age 4 and up
- Respite Support Professionals are not able to provide medical care.
For individuals interested in accessing IDD Respite Services but are not enrolled in IDD Services, please contact our helpline 512-472-4357 to schedule an IDD Intake.