Forms for Families and Adults Supported by Extend-A-Family Waterloo Region
Adult Individual/ Family Forms
- P&P_Mission, Statement of Rights, Service Principles, Confidentiality
- P&P_Mission Statement of Rights Service Principles Confidentiality plain language
- P&P_Anti Oppression Family Policy
- P&P_Code of ConductÂ
- Contract Use of Hours
- Confidentiality and Privacy Policy
- Abuse and Neglect Policy
- Health & Safety Policy
- Anti Oppressive Practice
- Driving Information & Consent
Independent Service Provision (ISP)
- ISPs – How to Get Reimbursed
- Instructions for Completing ISP Form for New Guidelines
- VIDEO: Filling out the ISP Form
- ISP (Funding Transfer) Reimbursement SAMPLE
- ISP Invoice Reimbursement Schedule – April 2025 – March 2026
- Adult Funding Transfer (ISP) Reimbursement Form
- Child Funding Transfer (ISP) Reimbursement Form
- Banking Information ISP Collection & Consent Form
Extend-A-Family Waterloo Region Direct Support Person Forms
- Driving Information and Consent
- Home and Community Care Support Services (HCCSS – formerly LHIN) Direct Support Person Timecard
- Direct Support Person Pay Schedule – April 2025 – March 2026
- Direct Support Person Transportation Reimbursement Form
- Unusual Incident Report
- Banking Information ISP Collection & Consent Form