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DS Forms

ASD Respite Applications

Please drop off the completed application at your nearest Family & Children’s Services office or mail the completed application to:

Developmental Services
464 Isabella Street
Pembroke, Ontario
K8A 5T9

Please do not email the completed application back as we cannot ensure that the information is secure on the network.  The deadline for us to receive all applications is March 3, 2017 at 4:30 p.m.  We will be offering various clinic dates across the county for those that require assistance in completing the application.  For more information regarding the application or clinic dates, please call your Service Coordinator.   If you do not have a Service Coordinator, please contact our Administrative Intake at 613-735-6866 x 4128  and your call will be directed to the appropriate person.

ASD Guide English 2017-18

ASD Application English 2017-18