Get Csdd Respite Request For Camp - Community Mental Health - Ceicmh

Filling out the CSDD respite request form online can be a straightforward process with the right guidance. This guide provides clear instructions on how to properly complete each section of the form to ensure a smooth submission.

Follow the steps to successfully complete the form.

1. Click the ‘Get Form’ button to access the form and open it for completion.
2. Begin filling out the date field by entering the current date.
3. In the consumer name section, provide both the last name and first name of the individual requesting respite services.
4. For parent(s) name, enter the names of one or both guardians responsible for the consumer.
5. Complete the consumer's address, ensuring to include street address, city, state, and zip code.
6. Input the consumer's phone number where they can be contacted.
7. Fill in the name of the camp where the consumer will attend, making sure it is located in Michigan.
8. Provide the address of the camp, including any required details for accurate identification.
9. Enter the camp's phone number for any necessary communication.
10. Indicate the cost of the camp, noting that respite funds will not cover registration or activity fees.
11. List the dates for which the consumer will be attending the camp.
12. Remember to submit a copy of the camp registration form as required with your request.
13. Collect parent signatures for validation of the request.
14. In the CC section, include the name of the case manager associated with this request.
15. Once all sections are filled out, save your changes and proceed to download, print, or share the completed form as needed.

Complete your CSDD respite request form online today for a timely submission.