Request for a Primary Respite Worker
If you need a new Primary Respite Worker (the main person that will be working with your child) please fill out this form so we can start matching your a Respite Worker with your family ASAP.

The Respite Worker's information will be emailed to you and you will receive a text message from the Respite Worker when your requested schedule has been filled.

If you are a new family waiting to get matched with a primary Respite Worker, an ARCC Center Admin will be contacting you as soon as your child is in our portal with an authorization number- this can take SDRC's Business Office up to 2-3 weeks to process.


PLEASE NOTE THAT ALL ARCC CENTER STAFF WILL BE ABLE TO SEE ALL RESPONSES ON OUR REQUEST SHEET.
Area of service / / Area de servicio (ex. Bay Park, 4's Ranch, Paradise Hills, San Marcos, Eastlake etc.) *
Your answer
Parent/Guardian name / / Nombre de Padres/Guardian. *
Your answer
Contact phone number- preferably cell phone / / Numero de telefono (Celular de preferencia) *
Your answer
Client(s) first and last name / / Nombre del cliente *
Your answer
Client(s) age // Edad *
Your answer
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