
{"id":8085,"date":"2023-12-14T12:04:18","date_gmt":"2023-12-14T12:04:18","guid":{"rendered":"https:\/\/hhrespite.com\/?page_id=8085"},"modified":"2026-03-11T23:01:05","modified_gmt":"2026-03-11T23:01:05","slug":"family-provider","status":"publish","type":"page","link":"https:\/\/hhrespite.com\/es\/page-templates\/family-provider\/","title":{"rendered":"Family Provider"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"8085\" class=\"elementor elementor-8085\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8f28713 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"8f28713\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b3bac4b\" data-id=\"b3bac4b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-44fd271 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"44fd271\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-2d45aae\" data-id=\"2d45aae\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-de43e61 dekoline elementor-widget elementor-widget-heading\" data-id=\"de43e61\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-xxl\">Family Providers<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1b4ea5f elementor-widget__width-initial elementor-widget-mobile__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"1b4ea5f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span data-contrast=\"auto\">In selecting a family provider for your loved ones, we prioritize their safety and well-being. The qualifications outlined below are carefully designed to guarantee the highest standard of care and security for those under the provider&#8217;s supervision.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-72f9c6b9 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"72f9c6b9\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-wide\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-83f3bdb\" data-id=\"83f3bdb\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t<div class=\"elementor-element elementor-element-f9cd95d e-flex e-con-boxed e-con e-parent\" data-id=\"f9cd95d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-0ff03d7 e-con-full e-flex e-con e-child\" data-id=\"0ff03d7\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c619f61 elementor-widget elementor-widget-heading\" data-id=\"c619f61\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h6 class=\"elementor-heading-title elementor-size-default\">Family provider criteria<\/h6>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b838c61 dekoline elementor-widget elementor-widget-heading\" data-id=\"b838c61\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-xxl\">Important Provider Information<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f4d7ca6 elementor-align-start elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"f4d7ca6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-far-folder-open\" viewBox=\"0 0 576 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M527.9 224H480v-48c0-26.5-21.5-48-48-48H272l-64-64H48C21.5 64 0 85.5 0 112v288c0 26.5 21.5 48 48 48h400c16.5 0 31.9-8.5 40.7-22.6l79.9-128c20-31.9-3-73.4-40.7-73.4zM48 118c0-3.3 2.7-6 6-6h134.1l64 64H426c3.3 0 6 2.7 6 6v42H152c-16.8 0-32.4 8.8-41.1 23.2L48 351.4zm400 282H72l77.2-128H528z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Must be 18 years or older and have legal authorization to work in the United States. Providers will be required to provide valid identification forms for employment verification purposes.  <\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9252ffd elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"9252ffd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-home\" viewBox=\"0 0 576 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M280.37 148.26L96 300.11V464a16 16 0 0 0 16 16l112.06-.29a16 16 0 0 0 15.92-16V368a16 16 0 0 1 16-16h64a16 16 0 0 1 16 16v95.64a16 16 0 0 0 16 16.05L464 480a16 16 0 0 0 16-16V300L295.67 148.26a12.19 12.19 0 0 0-15.3 0zM571.6 251.47L488 182.56V44.05a12 12 0 0 0-12-12h-56a12 12 0 0 0-12 12v72.61L318.47 43a48 48 0 0 0-61 0L4.34 251.47a12 12 0 0 0-1.6 16.9l25.5 31A12 12 0 0 0 45.15 301l235.22-193.74a12.19 12.19 0 0 1 15.3 0L530.9 301a12 12 0 0 0 16.9-1.6l25.5-31a12 12 0 0 0-1.7-16.93z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Must live in separate residence from client. <\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c3ec83a elementor-align-start elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"c3ec83a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fab-wpforms\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M448 75.2v361.7c0 24.3-19 43.2-43.2 43.2H43.2C19.3 480 0 461.4 0 436.8V75.2C0 51.1 18.8 32 43.2 32h361.7c24 0 43.1 18.8 43.1 43.2zm-37.3 361.6V75.2c0-3-2.6-5.8-5.8-5.8h-9.3L285.3 144 224 94.1 162.8 144 52.5 69.3h-9.3c-3.2 0-5.8 2.8-5.8 5.8v361.7c0 3 2.6 5.8 5.8 5.8h361.7c3.2.1 5.8-2.7 5.8-5.8zM150.2 186v37H76.7v-37h73.5zm0 74.4v37.3H76.7v-37.3h73.5zm11.1-147.3l54-43.7H96.8l64.5 43.7zm210 72.9v37h-196v-37h196zm0 74.4v37.3h-196v-37.3h196zm-84.6-147.3l64.5-43.7H232.8l53.9 43.7zM371.3 335v37.3h-99.4V335h99.4z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Must undergo Livescan background check, including criminal records, to ensure community safety and security. <\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-aee8845 elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"aee8845\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-first-aid\" viewBox=\"0 0 576 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M0 80v352c0 26.5 21.5 48 48 48h48V32H48C21.5 32 0 53.5 0 80zm128 400h320V32H128v448zm64-248c0-4.4 3.6-8 8-8h56v-56c0-4.4 3.6-8 8-8h48c4.4 0 8 3.6 8 8v56h56c4.4 0 8 3.6 8 8v48c0 4.4-3.6 8-8 8h-56v56c0 4.4-3.6 8-8 8h-48c-4.4 0-8-3.6-8-8v-56h-56c-4.4 0-8-3.6-8-8v-48zM528 32h-48v448h48c26.5 0 48-21.5 48-48V80c0-26.5-21.5-48-48-48z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Must complete CPR certification course to assist in emergency situations until professional help arrives.  <\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b7a474d elementor-widget elementor-widget-heading\" data-id=\"b7a474d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">* If family providers already posses active CPR certification, they can submit it for verification and will not need to undergo another certification course once approved. This provision acknowledges the value of maintaining up-to-date emergency response skills. <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-90e2111 e-flex e-con-boxed e-con e-parent\" data-id=\"90e2111\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4c4e401 dekoline elementor-widget elementor-widget-heading\" data-id=\"4c4e401\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-xl\">Refer Your Own Provider<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-d220614 e-flex e-con-boxed e-con e-parent\" data-id=\"d220614\" data-element_type=\"container\" 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{content:\"\\f41f\";} .bi-chat-square-text::before {content:\"\\f264\";} .bi-download::before {content:\"\\f30a\";} .bi-star-fill::before {content:\"\\f586\";} .bi-hand-thumbs-up::before {content:\"\\f407\";} .bi-envelope::before {content:\"\\f32f\";} .bi-arrow-right::before {content:\"\\f138\";} .bi-arrow-left::before {content:\"\\f12f\";} .bi-upload::before {content:\"\\f603\";} .bi-x-lg::before {content:\"\\f659\";} .bi-file-earmark-richtext::before {content:\"\\f383\";} .bi-check-square::before {content:\"\\f26d\";} .bi-square::before {content:\"\\f584\";} .bi-chevron-down::before {content:\"\\f282\";} .bi-chevron-up::before {content:\"\\f286\";} .bi-check-lg::before {content:\"\\f633\";} .bi-crosshair::before {content:\"\\f769\";} .bi-search::before {content:\"\\f52a\";} .bi-trash::before {content:\"\\f5de\";} .bi-shield-check::before {content:\"\\f52f\";} .bi-paperclip::before {content:\"\\f4b3\";} .bi-type-bold::before {content:\"\\f5f0\";} .bi-type-italic::before {content:\"\\f5f4\";} .bi-type-underline::before {content:\"\\f5f6\";} .bi-eraser::before {content:\"\\f331\";} .bi-person::before {content:\"\\f4e1\";} .bi-reply::before {content:\"\\f520\";} .bi-hash::before {content:\"\\f40a\";} .bi-calendar3::before {content:\"\\f214\";} .bi-globe2::before {content:\"\\f3ef\";} .bi-credit-card::before {content:\"\\f2dc\";} .bi-calculator::before {content:\"\\f1e0\";} .bi-palette::before {content:\"\\f4b1\";} .bi-pen::before {content:\"\\f4c8\";} .bi-star::before {content:\"\\f588\";} .bi-x::before {content:\"\\f62a\";}\n\t\t\t<\/style>\n\t<div style=\"display:none;\"><i class='bi bi-undefined'><\/i><i class='bi bi-chevron-right'><\/i><i class='bi bi-chevron-left'><\/i><i class='bi bi-undefined'><\/i><i class='bi bi-ui-checks-grid'><\/i><i class='bi bi-clipboard-check'><\/i><i class='bi bi-shield-lock-fill'><\/i><i class='bi bi-exclamation-triangle-fill'><\/i><i class='bi bi-exclamation-diamond-fill'><\/i><i class='bi bi-check2-square'><\/i><i class='bi bi-hourglass-split'><\/i><i class='bi bi-chat-square-text'><\/i><i class='bi bi-download'><\/i><i class='bi bi-star-fill'><\/i><i class='bi bi-hand-thumbs-up'><\/i><i class='bi bi-envelope'><\/i><i class='bi bi-arrow-right'><\/i><i class='bi bi-arrow-left'><\/i><i class='bi bi-upload'><\/i><i class='bi bi-x-lg'><\/i><i class='bi bi-file-earmark-richtext'><\/i><i class='bi bi-check-square'><\/i><i class='bi bi-square'><\/i><i class='bi bi-chevron-down'><\/i><i class='bi bi-chevron-up'><\/i><i class='bi bi-check-lg'><\/i><i class='bi bi-crosshair'><\/i><i class='bi bi-search'><\/i><i class='bi bi-trash'><\/i><i class='bi bi-shield-check'><\/i><i class='bi bi-chat-square-text'><\/i><i class='bi bi-paperclip'><\/i><i class='bi bi-type-bold'><\/i><i class='bi bi-type-italic'><\/i><i class='bi bi-type-underline'><\/i><i class='bi bi-eraser'><\/i><i class='bi bi-person'><\/i><i class='bi bi-reply'><\/i><i class='bi bi-hash'><\/i><i class='bi bi-calendar3'><\/i><i class='bi bi-globe2'><\/i><i class='bi bi-credit-card'><\/i><i class='bi bi-calculator'><\/i><i class='bi bi-palette'><\/i><i class='bi bi-pen'><\/i><i class='bi bi-star'><\/i><i class='bi bi-reply'><\/i><i class='bi bi-x'><\/i><\/div>\n\t\t\t\t<!-- start body_efb-->\n\n\t\t\t\t<div id=\"body_efb_2\" class=\"efb row pb-3 efb px-2 pre-efb body_efb efb-waiting-2 \" data-currentstep=\"1\" data-steps=\"1\" data-formid=\"2\">\n\t\t\t\t\t<form id=\"efbform\" class=\"mx-0 px-0 efb\" data-formid=\"2\">\n\t\t\t\t\t\t<div class=\"efb px-0 pt-2 pb-0 my-1 col-12 mb-2 view-efb\" id=\"view-efb\" data-formid=\"2\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<div class=\"efb mt-1 px-2\"><!--efb--><fieldset data-step=\"step-1-efb\" id=\"step-1-efb\" class=\"efb my-2 mx-0 px-0 steps-efb efb row fieldset\" data-formid=\"2\"><!--startTag text--><div class=\"efb my-1 mx-0 text def   ttEfb  col-md-12 col-sm-12 efbField \" data-step=\"0\" data-amount=\"3\" data-id=\"rdm2618jd-id\" id=\"rdm2618jd\" data-tag=\"text\"><label for=\"rdm2618jd_\" class=\"efb mx-0 px-0 pt-2 pb-1 col-md-12 col-sm-12 col-form-label text-colorDEfb-000000 txt-left fs-7\" id=\"rdm2618jd_labG\"><span id=\"rdm2618jd_lab\" class=\"efb fs-7\">Client First Name<\/span><span class=\"efb mx-1 text-danger\" id=\"rdm2618jd_req\" role=\"none\">*<\/span><\/label> <div class=\"efb col-md-12 col-sm-12 px-0 mx-0 ttEfb show\" id=\"rdm2618jd-f\"> <small id=\"rdm2618jd_-message\" class=\"efb py-1 fs-7 tx ttiptext px-2\" style=\"display:none\"> ! <\/small> <input type=\"text\" class=\"efb input-efb px-2 mb-0 emsFormBuilder_v w-100 form-control border-d h-d-efb efb-square text-colorDEfb-000000 required efbField efb1 \" data-id=\"rdm2618jd-el\" data-vid=\"rdm2618jd\" data-formid=\"2\" data-css=\"rdm2618jd\" id=\"rdm2618jd_\" placeholder=\"First name\"  aria-required=\"true\" aria-label=\"Client First Name\"  autocomplete=\"off\"    > <small id=\"rdm2618jd-des\" class=\"efb form-text d-flex fs-7 col-sm-12 efb mx-4 justify-content-start text-muted  \"><\/small><!--test2--><\/div><\/div><!--endTag text--><!--startTag text--><div class=\"efb my-1 mx-0 text def   ttEfb  col-md-12 col-sm-12 efbField \" data-step=\"0\" data-amount=\"6\" data-id=\"2ydd7fopv-id\" id=\"2ydd7fopv\" data-tag=\"text\"><label for=\"2ydd7fopv_\" class=\"efb mx-0 px-0 pt-2 pb-1 col-md-12 col-sm-12 col-form-label text-colorDEfb-000000 txt-left fs-7\" id=\"2ydd7fopv_labG\"><span id=\"2ydd7fopv_lab\" class=\"efb fs-7\">Client Last Name<\/span><span class=\"efb mx-1 text-danger\" id=\"2ydd7fopv_req\" role=\"none\">*<\/span><\/label> <div class=\"efb col-md-12 col-sm-12 px-0 mx-0 ttEfb show\" id=\"2ydd7fopv-f\"> <small id=\"2ydd7fopv_-message\" class=\"efb py-1 fs-7 tx ttiptext px-2\" style=\"display:none\"> ! <\/small> <input type=\"text\" class=\"efb input-efb px-2 mb-0 emsFormBuilder_v w-100 form-control border-d h-d-efb efb-square text-colorDEfb-030304 required efbField efb1 \" data-id=\"2ydd7fopv-el\" data-vid=\"2ydd7fopv\" data-formid=\"2\" data-css=\"2ydd7fopv\" id=\"2ydd7fopv_\" placeholder=\"Last name\"  aria-required=\"true\" aria-label=\"Client Last Name\"  autocomplete=\"off\"    > <small id=\"2ydd7fopv-des\" class=\"efb form-text d-flex fs-7 col-sm-12 efb mx-4 justify-content-start text-muted  \"><\/small><!--test2--><\/div><\/div><!--endTag text--><!--startTag text--><div class=\"efb my-1 mx-0 text def   ttEfb  col-md-12 col-sm-12 efbField \" data-step=\"0\" data-amount=\"9\" data-id=\"9sykffjfr-id\" id=\"9sykffjfr\" data-tag=\"text\"><label for=\"9sykffjfr_\" class=\"efb mx-0 px-0 pt-2 pb-1 col-md-12 col-sm-12 col-form-label text-colorDEfb-000000 txt-left fs-7\" id=\"9sykffjfr_labG\"><span id=\"9sykffjfr_lab\" class=\"efb fs-7\">Parent Legal Guardian Name<\/span><span class=\"efb mx-1 text-danger\" id=\"9sykffjfr_req\" role=\"none\">*<\/span><\/label> <div class=\"efb col-md-12 col-sm-12 px-0 mx-0 ttEfb show\" id=\"9sykffjfr-f\"> <small id=\"9sykffjfr_-message\" class=\"efb py-1 fs-7 tx ttiptext px-2\" style=\"display:none\"> ! <\/small> <input type=\"text\" class=\"efb input-efb px-2 mb-0 emsFormBuilder_v w-100 form-control border-d h-d-efb efb-square text-colorDEfb-000000 required efbField efb1 \" data-id=\"9sykffjfr-el\" data-vid=\"9sykffjfr\" data-formid=\"2\" data-css=\"9sykffjfr\" id=\"9sykffjfr_\" placeholder=\"Full Name\"  aria-required=\"true\" aria-label=\"Parent Legal Guardian Name\"  autocomplete=\"off\"    > <small id=\"9sykffjfr-des\" class=\"efb form-text d-flex fs-7 col-sm-12 efb mx-4 justify-content-start text-muted  \"><\/small><!--test2--><\/div><\/div><!--endTag text--><!--startTag text--><div class=\"efb my-1 mx-0 text def   ttEfb  col-md-12 col-sm-12 efbField \" data-step=\"0\" data-amount=\"10\" data-id=\"36bg31loc-id\" id=\"36bg31loc\" data-tag=\"text\"><label for=\"36bg31loc_\" class=\"efb mx-0 px-0 pt-2 pb-1 col-md-12 col-sm-12 col-form-label text-colorDEfb-000000 txt-left fs-7\" id=\"36bg31loc_labG\"><span id=\"36bg31loc_lab\" class=\"efb fs-7\">Service Coordinator Name<\/span><span class=\"efb mx-1 text-danger\" id=\"36bg31loc_req\" role=\"none\"><\/span><\/label> <div class=\"efb col-md-12 col-sm-12 px-0 mx-0 ttEfb show\" id=\"36bg31loc-f\"> <small id=\"36bg31loc_-message\" class=\"efb py-1 fs-7 tx ttiptext px-2\" style=\"display:none\"> ! <\/small> <input type=\"text\" class=\"efb input-efb px-2 mb-0 emsFormBuilder_v w-100 form-control border-d h-d-efb efb-square text-colorDEfb-000000  efbField efb1 \" data-id=\"36bg31loc-el\" data-vid=\"36bg31loc\" data-formid=\"2\" data-css=\"36bg31loc\" id=\"36bg31loc_\" placeholder=\"Full Name\"  aria-required=\"false\" aria-label=\"Service Coordinator Name\"  autocomplete=\"off\"    > <small id=\"36bg31loc-des\" class=\"efb form-text d-flex fs-7 col-sm-12 efb mx-4 justify-content-start text-muted  \"><\/small><!--test2--><\/div><\/div><!--endTag text--><!--startTag number--><div class=\"efb my-1 mx-0 number def   ttEfb  col-md-12 col-sm-12 efbField \" data-step=\"0\" data-amount=\"12\" data-id=\"otfj5d6o1-id\" id=\"otfj5d6o1\" data-tag=\"number\"><label for=\"otfj5d6o1_\" class=\"efb mx-0 px-0 pt-2 pb-1 col-md-12 col-sm-12 col-form-label text-colorDEfb-000000 txt-left fs-7\" id=\"otfj5d6o1_labG\"><span id=\"otfj5d6o1_lab\" class=\"efb fs-7\">Phone Number<\/span><span class=\"efb mx-1 text-danger\" id=\"otfj5d6o1_req\" role=\"none\">*<\/span><\/label> <div class=\"efb col-md-12 col-sm-12 px-0 mx-0 ttEfb show\" id=\"otfj5d6o1-f\"> <small id=\"otfj5d6o1_-message\" class=\"efb py-1 fs-7 tx ttiptext px-2\" style=\"display:none\"> ! <\/small> <input type=\"number\" class=\"efb input-efb px-2 mb-0 emsFormBuilder_v w-100 form-control border-d h-d-efb efb-square text-colorDEfb-000000 required efbField efb1 \" data-id=\"otfj5d6o1-el\" data-vid=\"otfj5d6o1\" data-formid=\"2\" data-css=\"otfj5d6o1\" id=\"otfj5d6o1_\" placeholder=\"Phone Number\"  aria-required=\"true\" aria-label=\"Phone Number\"  autocomplete=\"off\"    > <small id=\"otfj5d6o1-des\" class=\"efb form-text d-flex fs-7 col-sm-12 efb mx-4 justify-content-start text-muted  \"><\/small><!--test2--><\/div><\/div><!--endTag number--><!--startTag email--><div class=\"efb my-1 mx-0 email def   ttEfb  col-md-12 col-sm-12 efbField \" data-step=\"0\" data-amount=\"15\" data-id=\"nozofkojm-id\" id=\"nozofkojm\" data-tag=\"email\"><label for=\"nozofkojm_\" class=\"efb mx-0 px-0 pt-2 pb-1 col-md-12 col-sm-12 col-form-label text-colorDEfb-000000 txt-left fs-7\" id=\"nozofkojm_labG\"><span id=\"nozofkojm_lab\" class=\"efb fs-7\">Email<\/span><span class=\"efb mx-1 text-danger\" id=\"nozofkojm_req\" role=\"none\">*<\/span><\/label> <div class=\"efb col-md-12 col-sm-12 px-0 mx-0 ttEfb show\" id=\"nozofkojm-f\"> <small id=\"nozofkojm_-message\" class=\"efb py-1 fs-7 tx ttiptext px-2\" style=\"display:none\"> ! <\/small> <input type=\"email\" class=\"efb input-efb px-2 mb-0 emsFormBuilder_v w-100 form-control border-d h-d-efb efb-square text-colorDEfb-000000 required efbField efb1 \" data-id=\"nozofkojm-el\" data-vid=\"nozofkojm\" data-formid=\"2\" data-css=\"nozofkojm\" id=\"nozofkojm_\" placeholder=\"Email\"  aria-required=\"true\" aria-label=\"Email\"  autocomplete=\"email\"    > <small id=\"nozofkojm-des\" class=\"efb form-text d-flex fs-7 col-sm-12 efb mx-4 justify-content-start text-muted  \"><\/small><!--test2--><\/div><\/div><!--endTag email--><!--startTag radio--><div class=\"efb my-1 mx-0 radio def   ttEfb  col-md-12 col-sm-12 efbField \" data-step=\"0\" data-amount=\"32\" data-id=\"zzb1mdgl4-id\" id=\"zzb1mdgl4\" data-tag=\"radio\"><!-- checkbox -->\n\t\t\t\t\t\t\t<label for=\"zzb1mdgl4_\" class=\"efb mx-0 px-0 pt-2 pb-1 col-md-12 col-sm-12 col-form-label text-colorDEfb-030304 txt-left fs-7\" id=\"zzb1mdgl4_labG\"><span id=\"zzb1mdgl4_lab\" class=\"efb fs-7\">Is the provider at least 18 years old?<\/span><span class=\"efb mx-1 text-danger\" id=\"zzb1mdgl4_req\" role=\"none\">*<\/span><\/label>\n\t\t\t\t\t\t\t<div class=\"efb col-md-12 col-sm-12 px-0 mx-0 py-0 my-0 ttEfb show\" data-id=\"zzb1mdgl4-el\" id=\"zzb1mdgl4-f\">\n\t\t\t\t\t\t\t\t<small id=\"zzb1mdgl4_-message\" class=\"efb py-1 fs-7 tx ttiptext px-2\" style=\"display:none\"> ! <\/small>\n\t\t\t\t\t\t\t\t<div class=\"efb required row col-md-12  efb1 \" data-css=\"zzb1mdgl4\"  id=\"zzb1mdgl4_options\">\n\t\t\t\t\t\t\t\t\t<div class=\"efb form-check col-md-6 radio  efb1  mt-1\" data-css=\"zzb1mdgl4\" data-parent=\"zzb1mdgl4\" data-id=\"112hzxi1m\" data-formid=\"2\" id=\"112hzxi1m-v\">\n\t\t\t\t\t\t\t\t\t<input class=\"efb form-check-input emsFormBuilder_v  fs-6\" data-tag=\"radio\" data-type=\"radio\" data-vid=\"zzb1mdgl4\" type=\"radio\" name=\"zzb1mdgl4\" value=\"Yes\" id=\"112hzxi1m\" data-id=\"112hzxi1m-id\" data-formid=\"2\" data-op=\"112hzxi1m\"   >\n\t\t\t\t\t\t\t\t\t<label class=\"efb  text-colorDEfb-000000 h-d-efb fs-7 hStyleOpEfb\" id=\"112hzxi1m_lab\" for=\"112hzxi1m\">Yes<\/label>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div><div class=\"efb form-check col-md-6 radio  efb1  mt-1\" data-css=\"zzb1mdgl4\" data-parent=\"zzb1mdgl4\" data-id=\"gd35orfvo\" data-formid=\"2\" id=\"gd35orfvo-v\">\n\t\t\t\t\t\t\t\t\t<input class=\"efb form-check-input emsFormBuilder_v  fs-6\" data-tag=\"radio\" data-type=\"radio\" data-vid=\"zzb1mdgl4\" type=\"radio\" name=\"zzb1mdgl4\" value=\"No\" id=\"gd35orfvo\" data-id=\"gd35orfvo-id\" data-formid=\"2\" data-op=\"gd35orfvo\"   >\n\t\t\t\t\t\t\t\t\t<label class=\"efb  text-colorDEfb-000000 h-d-efb fs-7 hStyleOpEfb\" id=\"gd35orfvo_lab\" for=\"gd35orfvo\">No<\/label>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"efb mb-3\"><small id=\"zzb1mdgl4-des\" class=\"efb form-text d-flex fs-7 col-sm-12 efb mx-4 justify-content-start text-muted  \"><\/small><\/div>\n\t\t\t\t\t\t\t<!-- end checkbox --><!--test2--><\/div><\/div><!--endTag radio--><!--startTag radio--><div class=\"efb my-1 mx-0 radio def   ttEfb  col-md-12 col-sm-12 efbField \" data-step=\"0\" data-amount=\"33\" data-id=\"y61i50bgs-id\" id=\"y61i50bgs\" data-tag=\"radio\"><!-- checkbox -->\n\t\t\t\t\t\t\t<label for=\"y61i50bgs_\" class=\"efb mx-0 px-0 pt-2 pb-1 col-md-12 col-sm-12 col-form-label text-colorDEfb-030304 txt-left fs-7\" id=\"y61i50bgs_labG\"><span id=\"y61i50bgs_lab\" class=\"efb fs-7\">Does the provider live in the same home address as the client?<\/span><span class=\"efb mx-1 text-danger\" id=\"y61i50bgs_req\" role=\"none\">*<\/span><\/label>\n\t\t\t\t\t\t\t<div class=\"efb col-md-12 col-sm-12 px-0 mx-0 py-0 my-0 ttEfb show\" data-id=\"y61i50bgs-el\" id=\"y61i50bgs-f\">\n\t\t\t\t\t\t\t\t<small id=\"y61i50bgs_-message\" class=\"efb py-1 fs-7 tx ttiptext px-2\" style=\"display:none\"> ! <\/small>\n\t\t\t\t\t\t\t\t<div class=\"efb required row col-md-12  efb1 \" data-css=\"y61i50bgs\"  id=\"y61i50bgs_options\">\n\t\t\t\t\t\t\t\t\t<div class=\"efb form-check col-md-6 radio  efb1  mt-1\" data-css=\"y61i50bgs\" data-parent=\"y61i50bgs\" data-id=\"j5781jr8o\" data-formid=\"2\" id=\"j5781jr8o-v\">\n\t\t\t\t\t\t\t\t\t<input class=\"efb form-check-input emsFormBuilder_v  fs-6\" data-tag=\"radio\" data-type=\"radio\" data-vid=\"y61i50bgs\" type=\"radio\" name=\"y61i50bgs\" value=\"Yes\" id=\"j5781jr8o\" data-id=\"j5781jr8o-id\" data-formid=\"2\" data-op=\"j5781jr8o\"   >\n\t\t\t\t\t\t\t\t\t<label class=\"efb  text-colorDEfb-000000 h-d-efb fs-7 hStyleOpEfb\" id=\"j5781jr8o_lab\" for=\"j5781jr8o\">Yes<\/label>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div><div class=\"efb form-check col-md-6 radio  efb1  mt-1\" data-css=\"y61i50bgs\" data-parent=\"y61i50bgs\" data-id=\"tyg9kmfi9\" data-formid=\"2\" id=\"tyg9kmfi9-v\">\n\t\t\t\t\t\t\t\t\t<input class=\"efb form-check-input emsFormBuilder_v  fs-6\" data-tag=\"radio\" data-type=\"radio\" data-vid=\"y61i50bgs\" type=\"radio\" name=\"y61i50bgs\" value=\"No\" id=\"tyg9kmfi9\" data-id=\"tyg9kmfi9-id\" data-formid=\"2\" data-op=\"tyg9kmfi9\"   >\n\t\t\t\t\t\t\t\t\t<label class=\"efb  text-colorDEfb-000000 h-d-efb fs-7 hStyleOpEfb\" id=\"tyg9kmfi9_lab\" for=\"tyg9kmfi9\">No<\/label>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"efb mb-3\"><small id=\"y61i50bgs-des\" class=\"efb form-text d-flex fs-7 col-sm-12 efb mx-4 justify-content-start text-muted  \"><\/small><\/div>\n\t\t\t\t\t\t\t<!-- end checkbox --><!--test2--><\/div><\/div><!--endTag radio--><!--startTag radio--><div class=\"efb my-1 mx-0 radio def   ttEfb  col-md-12 col-sm-12 efbField \" data-step=\"0\" data-amount=\"38\" data-id=\"uuvltrbm8-id\" id=\"uuvltrbm8\" data-tag=\"radio\"><!-- checkbox -->\n\t\t\t\t\t\t\t<label for=\"uuvltrbm8_\" class=\"efb mx-0 px-0 pt-2 pb-1 col-md-12 col-sm-12 col-form-label text-colorDEfb-000000 txt-left fs-7\" id=\"uuvltrbm8_labG\"><span id=\"uuvltrbm8_lab\" class=\"efb fs-7\">Have you already spoken to the referred provider in regard to doing the services?<\/span><span class=\"efb mx-1 text-danger\" id=\"uuvltrbm8_req\" role=\"none\">*<\/span><\/label>\n\t\t\t\t\t\t\t<div class=\"efb col-md-12 col-sm-12 px-0 mx-0 py-0 my-0 ttEfb show\" data-id=\"uuvltrbm8-el\" id=\"uuvltrbm8-f\">\n\t\t\t\t\t\t\t\t<small id=\"uuvltrbm8_-message\" class=\"efb py-1 fs-7 tx ttiptext px-2\" style=\"display:none\"> ! <\/small>\n\t\t\t\t\t\t\t\t<div class=\"efb required row col-md-12  efb1 \" data-css=\"uuvltrbm8\"  id=\"uuvltrbm8_options\">\n\t\t\t\t\t\t\t\t\t<div class=\"efb form-check col-md-6 radio  efb1  mt-1\" data-css=\"uuvltrbm8\" data-parent=\"uuvltrbm8\" data-id=\"lsaxjx65n\" data-formid=\"2\" id=\"lsaxjx65n-v\">\n\t\t\t\t\t\t\t\t\t<input class=\"efb form-check-input emsFormBuilder_v  fs-6\" data-tag=\"radio\" data-type=\"radio\" data-vid=\"uuvltrbm8\" type=\"radio\" name=\"uuvltrbm8\" value=\"Yes\" id=\"lsaxjx65n\" data-id=\"lsaxjx65n-id\" data-formid=\"2\" data-op=\"lsaxjx65n\"   checked>\n\t\t\t\t\t\t\t\t\t<label class=\"efb  text-colorDEfb-000000 h-d-efb fs-7 hStyleOpEfb\" id=\"lsaxjx65n_lab\" for=\"lsaxjx65n\">Yes<\/label>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div><div class=\"efb form-check col-md-6 radio  efb1  mt-1\" data-css=\"uuvltrbm8\" data-parent=\"uuvltrbm8\" data-id=\"n95b11zqu\" data-formid=\"2\" id=\"n95b11zqu-v\">\n\t\t\t\t\t\t\t\t\t<input class=\"efb form-check-input emsFormBuilder_v  fs-6\" data-tag=\"radio\" data-type=\"radio\" data-vid=\"uuvltrbm8\" type=\"radio\" name=\"uuvltrbm8\" value=\"No\" id=\"n95b11zqu\" data-id=\"n95b11zqu-id\" data-formid=\"2\" data-op=\"n95b11zqu\"   >\n\t\t\t\t\t\t\t\t\t<label class=\"efb  text-colorDEfb-000000 h-d-efb fs-7 hStyleOpEfb\" id=\"n95b11zqu_lab\" for=\"n95b11zqu\">No<\/label>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"efb mb-3\"><small id=\"uuvltrbm8-des\" class=\"efb form-text d-flex fs-7 col-sm-12 efb mx-4 justify-content-start text-muted  \"><\/small><\/div>\n\t\t\t\t\t\t\t<!-- end checkbox --><!--test2--><\/div><\/div><!--endTag radio--><!--startTag text--><div class=\"efb my-1 mx-0 text def   ttEfb  col-md-12 col-sm-12 efbField \" data-step=\"0\" data-amount=\"42\" data-id=\"5ge7nblfo-id\" id=\"5ge7nblfo\" data-tag=\"text\"><label for=\"5ge7nblfo_\" class=\"efb mx-0 px-0 pt-2 pb-1 col-md-12 col-sm-12 col-form-label text-colorDEfb-000000 txt-left fs-7\" id=\"5ge7nblfo_labG\"><span id=\"5ge7nblfo_lab\" class=\"efb fs-7\">Provider's Name<\/span><span class=\"efb mx-1 text-danger\" id=\"5ge7nblfo_req\" role=\"none\">*<\/span><\/label> <div class=\"efb col-md-12 col-sm-12 px-0 mx-0 ttEfb show\" id=\"5ge7nblfo-f\"> <small id=\"5ge7nblfo_-message\" class=\"efb py-1 fs-7 tx ttiptext px-2\" style=\"display:none\"> ! <\/small> <input type=\"text\" class=\"efb input-efb px-2 mb-0 emsFormBuilder_v w-100 form-control border-d h-d-efb efb-square text-colorDEfb-000000 required efbField efb1 \" data-id=\"5ge7nblfo-el\" data-vid=\"5ge7nblfo\" data-formid=\"2\" data-css=\"5ge7nblfo\" id=\"5ge7nblfo_\" placeholder=\"Full Name\"  aria-required=\"true\" aria-label=\"Provider's Name\"  autocomplete=\"off\"    > <small id=\"5ge7nblfo-des\" class=\"efb form-text d-flex fs-7 col-sm-12 efb mx-4 justify-content-start text-muted  \"><\/small><!--test2--><\/div><\/div><!--endTag text--><!--startTag number--><div class=\"efb my-1 mx-0 number def   ttEfb  col-md-12 col-sm-12 efbField \" data-step=\"0\" data-amount=\"45\" data-id=\"kik0ko5kf-id\" id=\"kik0ko5kf\" data-tag=\"number\"><label for=\"kik0ko5kf_\" class=\"efb mx-0 px-0 pt-2 pb-1 col-md-12 col-sm-12 col-form-label text-colorDEfb-000000 txt-left fs-7\" id=\"kik0ko5kf_labG\"><span id=\"kik0ko5kf_lab\" class=\"efb fs-7\">Provider's Number<\/span><span class=\"efb mx-1 text-danger\" id=\"kik0ko5kf_req\" role=\"none\">*<\/span><\/label> <div class=\"efb col-md-12 col-sm-12 px-0 mx-0 ttEfb show\" id=\"kik0ko5kf-f\"> <small id=\"kik0ko5kf_-message\" class=\"efb py-1 fs-7 tx ttiptext px-2\" style=\"display:none\"> ! <\/small> <input type=\"number\" class=\"efb input-efb px-2 mb-0 emsFormBuilder_v w-100 form-control border-d h-d-efb efb-square text-colorDEfb-000000 required efbField efb1 \" data-id=\"kik0ko5kf-el\" data-vid=\"kik0ko5kf\" data-formid=\"2\" data-css=\"kik0ko5kf\" id=\"kik0ko5kf_\" placeholder=\"Number\"  aria-required=\"true\" aria-label=\"Provider's Number\"  autocomplete=\"off\"    > <small id=\"kik0ko5kf-des\" class=\"efb form-text d-flex fs-7 col-sm-12 efb mx-4 justify-content-start text-muted  \"><\/small><!--test2--><\/div><\/div><!--endTag number--><!--startTag email--><div class=\"efb my-1 mx-0 email def   ttEfb  col-md-12 col-sm-12 efbField \" data-step=\"0\" data-amount=\"48\" data-id=\"s2unef2cj-id\" id=\"s2unef2cj\" data-tag=\"email\"><label for=\"s2unef2cj_\" class=\"efb mx-0 px-0 pt-2 pb-1 col-md-12 col-sm-12 col-form-label text-colorDEfb-000000 txt-left fs-7\" id=\"s2unef2cj_labG\"><span id=\"s2unef2cj_lab\" class=\"efb fs-7\">Provider's Email<\/span><span class=\"efb mx-1 text-danger\" id=\"s2unef2cj_req\" role=\"none\"><\/span><\/label> <div class=\"efb col-md-12 col-sm-12 px-0 mx-0 ttEfb show\" id=\"s2unef2cj-f\"> <small id=\"s2unef2cj_-message\" class=\"efb py-1 fs-7 tx ttiptext px-2\" style=\"display:none\"> ! <\/small> <input type=\"email\" class=\"efb input-efb px-2 mb-0 emsFormBuilder_v w-100 form-control border-d h-d-efb efb-square text-colorDEfb-000000  efbField efb1 \" data-id=\"s2unef2cj-el\" data-vid=\"s2unef2cj\" data-formid=\"2\" data-css=\"s2unef2cj\" id=\"s2unef2cj_\" placeholder=\"Email\"  aria-required=\"false\" aria-label=\"Provider's Email\"  autocomplete=\"email\"    > <small id=\"s2unef2cj-des\" class=\"efb form-text d-flex fs-7 col-sm-12 efb mx-4 justify-content-start text-muted  \"><\/small><!--test2--><\/div><\/div><!--endTag email-->\n\t\t\t\t\t\n\t\t\t\t\t<\/fieldset>\n\t\t\t\t\t<fieldset data-step='step-2-efb' class='efb my-5 steps-efb efb row d-none text-center' id='efb-final-step' data-formid='2'>\n\t\t\t\t\t\t<!-- fieldset finall -->\n\t\t\t\t\t\t<h2 class=\"efb fs-3 text-center\">Please Wait \n\t\t\t<svg viewBox=\"0 0 120 30\" height=\"15px\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" preserveAspectRatio=\"xMidYMid meet\">\n\t\t\t\t<circle cx=\"15\" cy=\"15\" r=\"15\" fill=\"#abb8c3\">\n\t\t\t\t\t<animate attributeName=\"r\" from=\"15\" to=\"9\"\n\t\t\t\t\t\t\tbegin=\"0s\" dur=\"1s\"\n\t\t\t\t\t\t\tvalues=\"15;9;15\" calcMode=\"linear\"\n\t\t\t\t\t\t\trepeatCount=\"indefinite\" \/>\n\t\t\t\t<\/circle>\n\t\t\t\t<circle cx=\"60\" cy=\"15\" r=\"9\" fill=\"#abb8c3\">\n\t\t\t\t\t<animate attributeName=\"r\" from=\"9\" to=\"15\"\n\t\t\t\t\t\t\tbegin=\"0.3s\" dur=\"1s\"\n\t\t\t\t\t\t\tvalues=\"9;15;9\" calcMode=\"linear\"\n\t\t\t\t\t\t\trepeatCount=\"indefinite\" \/>\n\t\t\t\t<\/circle>\n\t\t\t\t<circle cx=\"105\" cy=\"15\" r=\"15\" fill=\"#abb8c3\">\n\t\t\t\t\t<animate attributeName=\"r\" from=\"15\" to=\"9\"\n\t\t\t\t\t\t\tbegin=\"0.6s\" dur=\"1s\"\n\t\t\t\t\t\t\tvalues=\"15;9;15\" calcMode=\"linear\"\n\t\t\t\t\t\t\trepeatCount=\"indefinite\" \/>\n\t\t\t\t<\/circle>\n\t\t\t<\/svg><\/h2><p class=\"efb fs-5\"><p class=\"efb fs-5\">Submitting the form<\/p><\/p> <!--efb-->\n\t\t\t\t\t\t<div step-2-efb><\/div>\n\t\t\t\t\t<\/fieldset><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<!-- end view-efb-->\n\t\t\t\t\t\t<div class=\"efb footer-test p-1\"><div class=\"efb d-flex justify-content-center mx-3 d-block text-center efb mx-3\" id=\"f_btn_send_efb\" data-tag=\"buttonNav\" data-formid=\"2\">\n\t\t\t\t<a id=\"btn_send_efb\" role=\"button\" class=\"efb text-decoration-none mx-0 btn p-2  btn-colorDEfb-2a3c64 efb-square h-l-efb  efb-btn-lg btn_send_efb\" data-formid=\"2\" data-currentstep=\"1\" onclick=\"btn_navigate_handle_efb('2' ,'form' ,'btn_send_efb',this)\"><span id=\"button_group_button_single_text\" class=\"efb text-white\" >Submit<\/span><\/a>\n\t\t\t<\/div><\/div>\n\t\t\t\t\t<\/form>\n\t\t\t\t\t<!-- end form-->\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<!-- end body_efb-->\n\t\t\t\t\t<div id=\"alert_efb\" class=\"efb mx-5 alert_efb\" data-formid=\"2\"><\/div>\n\t\t\t\t\t<!-- style efb -->\n\t\t\t\t\t <script> \/\/efbJs<\/script><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3e580fa9 elementor-reverse-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3e580fa9\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-wide\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-7def0111\" data-id=\"7def0111\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-efdc152 elementor-widget elementor-widget-html\" data-id=\"efdc152\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<iframe src=\"https:\/\/www.google.com\/maps\/embed?pb=!1m18!1m12!1m3!1d211103.5501850266!2d-118.63756051840316!3d34.23596250224604!2m3!1f0!2f0!3f0!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x80c2bbe95bd6cda7%3A0x69a74710d8ddefa4!2sHelping%20Hand%20Respite!5e0!3m2!1sen!2sus!4v1702536538619!5m2!1sen!2sus\" title=\"Map of Helping Hand Respite location in Los Angeles\" \nwidth=\"600\" height=\"550\" style=\"border:0;\" allowfullscreen=\"\" loading=\"lazy\"  title=\"iframe\" referrerpolicy=\"no-referrer-when-downgrade\"><\/iframe>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-2b08a2e5\" data-id=\"2b08a2e5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bd17f26 dekoline elementor-widget elementor-widget-heading\" data-id=\"bd17f26\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-xl\">Contact Us<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-38504be elementor-widget elementor-widget-heading\" data-id=\"38504be\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">We welcome you to reach out to us by phone, email, or our contact form below to speak with a member of our team. <\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3e22f6b8 elementor-position-inline-start elementor-mobile-position-inline-start elementor-view-default elementor-widget elementor-widget-icon-box\" data-id=\"3e22f6b8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-phone\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M493.4 24.6l-104-24c-11.3-2.6-22.9 3.3-27.5 13.9l-48 112c-4.2 9.8-1.4 21.3 6.9 28l60.6 49.6c-36 76.7-98.9 140.5-177.2 177.2l-49.6-60.6c-6.8-8.3-18.2-11.1-28-6.9l-112 48C3.9 366.5-2 378.1.6 389.4l24 104C27.1 504.2 36.7 512 48 512c256.1 0 464-207.5 464-464 0-11.2-7.7-20.9-18.6-23.4z\"><\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\tPhone: (213) 567-3838 \/ Fax: (213) 336-6070\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-10291dd9 elementor-position-inline-start elementor-mobile-position-inline-start elementor-view-default elementor-widget elementor-widget-icon-box\" data-id=\"10291dd9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-mail-bulk\" viewBox=\"0 0 576 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M160 448c-25.6 0-51.2-22.4-64-32-64-44.8-83.2-60.8-96-70.4V480c0 17.67 14.33 32 32 32h256c17.67 0 32-14.33 32-32V345.6c-12.8 9.6-32 25.6-96 70.4-12.8 9.6-38.4 32-64 32zm128-192H32c-17.67 0-32 14.33-32 32v16c25.6 19.2 22.4 19.2 115.2 86.4 9.6 6.4 28.8 25.6 44.8 25.6s35.2-19.2 44.8-22.4c92.8-67.2 89.6-67.2 115.2-86.4V288c0-17.67-14.33-32-32-32zm256-96H224c-17.67 0-32 14.33-32 32v32h96c33.21 0 60.59 25.42 63.71 57.82l.29-.22V416h192c17.67 0 32-14.33 32-32V192c0-17.67-14.33-32-32-32zm-32 128h-64v-64h64v64zm-352-96c0-35.29 28.71-64 64-64h224V32c0-17.67-14.33-32-32-32H96C78.33 0 64 14.33 64 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The qualifications outlined below are carefully designed to guarantee the highest standard of care and security for those under the provider&#8217;s supervision.\u00a0 Family provider criteria Important Provider Information Must be 18 years or older and have legal authorization &hellip;<\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"parent":892,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","footnotes":""},"class_list":["post-8085","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Family Provider - Helping Hand Respite<\/title>\n<meta name=\"description\" content=\"Refer your own family provider to become a caretaker for a loved one with expert assitance from our team at Helping Hand Respite.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/hhrespite.com\/es\/page-templates\/family-provider\/\" \/>\n<meta property=\"og:locale\" content=\"es_MX\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Family Provider - 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