Important Information for Families and Caregivers of CYSHCN about the Northwest Regional Medical Home Support Center

Information for Caregivers

What We Can Do For You?
Registration Material
Local Resources

Our Medical Home Support Center provides a wide variety of resources and support services including care coordination, family advocacy, information about support programs and technical assistance. Payment for certain goods and services is subject to availability of funds and is determined on an individual basis depending on health insurance coverage and family income. Payment for these services must also relate to your child’s diagnosis.

For a more detailed list of our services and what we can do for you, visit the"Our Services" page.

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Registration Materials

Thank you for your interest in the Children and Youth with Special Health Care Needs Program (CYSHCN). The following links make up the "registration packet" which includes an application, a release of medical information, a respite application and a screener. In order to register, please print out, complete and return the following forms to us either by fax or by mail. Your registration packet must include:

In order to download the forms above, you must have the Adobe Reader program. If you do not have Adobe Reader, you may download it for free by clicking on the Adobe Reader button on the right.

Please remember to include the following as well:

Proof of Income (Copies of last 4 pay stubs or most recent income tax return)
Proof of Expenses (copies of receipts)
Insurance Information (copy of insurance card – both front and back)

If you have any questions regarding these forms, please feel free to call at any time. These will be used to determine eligibility for both respite services as well as extended services (i.e., durable medical equipment, specialized nutritional formulas and prescription medicines) not covered by insurance in the event those would be needed.

Please feel free to contact us at (203) 709-5716 or toll free (866) 517-4388. In addition, the center's fax # is 203-709-5153. Our mailing address is:

Northwest Regional Medical Home Support Center
Children's Health Center
Saint Mary's Hospital
56 Franklin St
Waterbury, CT 06706.

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Local Resources

Parent Support Groups in
Northwest Connecticut

ASRC Greater Danbury Support Group for Parents of Children within the Autism Spectrum
Location: Walnut Hill Community Church, Bethel
Contact: Carol Pines
Telephone: 860-354-9248
Email: carolpines@sbcglobal.com

North Star Support Group: A Support Group for Parents of Children with Autism Spectrum Disorder or Developmental Delay
Location: First Congregational Church, Derby
Contact: Sara Locke or Cathy Adamczyk
Telephone: 203-881-0259 or 203-735-6098
Email: saraslocke@yahoo.com or Cathya@ntplx.ne

LACASA Support Group (Litchfield County Autism Spectrum Association)
Location: Northwest CT Community College, Winsted
Contact: Sharon Cable
Telephone: 860-693-9128
Email: cablehome3@comcast.net

Waterbury Support Group
Location: Morning Group – Stop and Shop Conference Room
Evening Group – Waterbury WARC
Contact: Alice Buttwell
Telephone: 860-350-6025
Email: aliceMMBB@aol.com