Overnight, Daycare and Home Respite Request Form

Dear Families,

We are delighted to support you in booking care for your child. Please complete this quick form to request day care or overnight respite sessions. If you have any questions, feel free to contact us—we’re always here to help.



Your details
Overnight Respite Requests

OVERNIGHT REQUESTS: Please give date of arrival and departure. Usual arrival time is 4pm and departure is 11am (please specify if you are requesting an alternative to these).

Departure date no more than 7 days from the arrival date.

In-House Day Care Requests
At-Home Day Care Requests

Terms & Conditions

Assessment and Medication Clinic and Care Plan updates are essential to ensuring we know what your child needs to best support them. These remain valid for 6 months. Please email us at any time with updates or changes so this can be recorded.

If you are travelling during the respite stay (especially abroad) and cannot return to your child within a two-hour period, then an emergency contact must be named as a safe carer to support your child until your return. If unsure or unconfirmed at time of respite booking, please let us know as soon as possible so that all checks are in place.

Also, if you have a special request such as a wedding or a holiday, let us know so we can ensure that stay is prioritised.

Please do not book flights or a holiday until you have received a confirmation email for your child’s stay.

We try not to cancel stays as we know respite is important to you and your child, however as a hospice those who require end of life care receive priority over respite stays, if staffing does not allow for accommodation of both.

We’re excited to welcome your child to Haven House for rest, fun, and care. Thank you for trusting us to support your family.
Warm wishes,
The Haven House Care Team
📞 020 8506 5513 | ✉️ [email protected]