Respite Interest Form

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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.

Please enter the date/time you want your appointment using the form below. We will contact you to confirm availability and to schedule. 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. 

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