Complete a respite application form

In order to register for respite services during the year you must first complete a respite application form to confirm eligibility for services. Client registration services will review your application with the teams and will contact you as soon as possible to confirm eligibility.

You will only need to complete this application once per year. Return the form at any time during the year, either with your request for specific dates or in advance. Please return the application by mail, fax or in person to:

Holland Bloorview Kids Rehabilitation Hospital
Attention: Respite Services
150 Kilgour Rd.
Toronto, ON M4G 1R8

Fax: 416-422-7036

Printed copies of the application forms are available in the Family Resource Centre and Client Registration.

Register for specific respite dates

• Call 416-753-6066 during the appropriate registration period below
• Leave your name and telephone number as well as the dates you are interested in booking
• Provide a few options in case cannot accommodate your first choice

Note: we welcome our in-patient clients to begin their respite visits on Mondays, Wednesdays or Fridays

Respite registration periods for 2018-2019

Holiday Dates: You can register now for one of our one-week holiday stays.

• Friday, December 21 - Thursday, December 27, 2018 or
• Friday, December 28 - Thursday, January 3, 2019

October 15–26, 2018: Call the respite request line during this period to request overnight respite between January 7, 2019 – March 24, 2019

October 26 - November 9, 2018: Call the respite request line during this period to request day respite up until March 24, 2019.

October 26 - November 2, 2018: Call the respite request line during this period to request SmartCenters Creative Arts March Break Respite Camp

Priority will be given to those who request dates within the time periods stated. Client registration services will contact you by phone on the confirmation dates above and a confirmation letter will also be sent to you. After each registration period ends, respite requests can still be made and will be booked on a first come, first served basis.

Pay for the respite program(s) you have registered for

• Overnight respite - $45 per night             
• Weekend respite day program - $45 per day
• March Break respite camp – please visit our program information page

If you require financial support, please contact  the Family Resource Centre at resourcecentre@hollandbloorview.ca or 416-425-6220 ext 6560.