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Respite Billing
This form is to be completed by a vendored family member who uses an individual worker to provide respite services, and is to be submitted to the regional center with the billings/invoices for the billing period the form covers.
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Respite Services Billing Form (English)
Respite Services Billing Form (Spanish)
4355 Ruffin Rd., Suite 200
San Diego, CA, 92123
phone: (858) 576-2996
fax: (858) 576-2873
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