Contact Us

Let’s get started. Talk to us about how we can help you and your family.

Explore

Intake Form

Thank you for your inquiry. As we begin, if you can please provide us with a few additional pieces of information.

This field is for validation purposes and should be left unchanged.

Your Name(Required)

Email Address(Required)

Phone Number(Required)

Name of Child(Required)

Age of Child(Required)

Location/Address(Required)

Do you have an active contract with FSCD/PDD(Required)

Level of Contract(Required)

Number of Hours in Contract(Required)

Categories of Services in Contract(Required)

Days of the week you are requesting service(Required)

How many hours per week and at what times are you requesting services(Required)

General requests for services: what are you asking our team to do in terms of support for your family?(Required)

General overview of diagnosis and supports required for success.(Required)

Any medical requirements for support (GI, personal care).(Required)

Any additional information that is important or helpful for us to know?(Required)

Any behavioural or extraordinary information we should be aware of (This information helps us in ensuring we have staff that are trained to meet your child’s particular needs).(Required)

A few notes:

We initially start the intake process with a scheduled phone call to ensure we offer the type of support your family is looking for. After the initial phone call we schedule an in-person intake meeting, which will take approximately 60 minutes. We do bill a minimum of 1-3 hours for an in-person intake meeting and will require a copy of an active contract beforehand.

We think it is important to be transparent with the difficulties all companies are facing due to staffing shortages. It is important to note that from the time of intake to the time of ‘action’ we may be required to ‘staff up’ and expand. At times this process may take longer than we expect, however we are dedicated to those families who choose us and do our best to get going as soon as possible.

As an agency we are required to pay a minimum of three hours staffing. For example, many contracts will have 5 hours per month, with that specific example Your Way Support Services is currently only able to offer one 5-hour shift per month.

We require confirmation and the balance of Hours in your contract provided directly from your FSCD case worker. If you feel Your way Support Services is a good fit for your family, we require an addendum to be completed in your active contract to list us as the agency.

We require all families to download and use our company communication and information portal/app. This is our primary source of communication with all active families.

Again, thank you for your interest in Your Way Support Services. We look forward to connecting with you and welcoming you into our Your Way Family.

You can also leave us a message here:

Business Hours

Monday – Friday

9:00 AM – 4:00 PM

Email

Send us a message anytime

admin@yourwaysupport.com

Phone

Speak with someone directly

+1 (780) 916-5892