(248) 433-1011

Respite Care Assistance Application

Please provide person with PD’s information below
1. The Michigan Parkinson Foundation may require documentation of all or some of the above items.
2. I understand this request for home care is for temporary, short-term assistance.
3. Participation in this program is based on need and the availability of funds.
You can also send diagnosis information to Stephanie via Fax # (248) 433-1150 or email respite@parkinsonsmi.org or hard copies can be mailed to our office.
For more information, contact Stephanie Woznak at 248-419-7170 or Stephaniew@parkinsonsmi.org.