


[Name of Respite Supervisor]
After School/ Summer Camp
Phone:
123-456-7890
Email:
Address:
9317 Avenue L, Brooklyn New York 11236
About After School & Summer Camp
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After-school support and summer camp programs encourage individuals with developmental disabilities to get more active and be more involved with social activities. Here at Unique Care Community Services, we provide a variety of individual, group, and family programs to address their need for support.
Our services include, but are not limited to:
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Daily living skills
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Teach problem-solving skills
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Music and art therapy
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Recreational activities
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Trips to parks, museums, and other significant places
Pictures taken by our staff
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Enroll Your Loved One Now
Step 1- Fill Out Referral Form
Step 2- Schedule a Tour of our program
Step 3- Fill out In-Take Application
Step 4- Submit proof of identification and insurance
Step 5- Care Managers must provide Documents
Download Referral form here
Contact us at 347-502-2956 to schedule a tour of our facility
Please fill out all In-Take Application Forms here
Submit Medicaid, Birth Certificate, Medical
(Encryption needed as per HIPPA laws)
Care Managers must submit:
-Psychological and Psychosocial Evaluations
-Level of Care
-Life Plan
-Notice of Decision
-Service Authorization
-DDP2