To find out more about admission to Exceptional Care for Children, please take a moment to complete this brief inquiry. All information will be held in the strictest of confidence. If you prefer to begin this process by phone, please contact Kareylenn Hammond, MSW, at 302-894-1001 x405.

Name:
Address:
City:
State: Zip:
Phone:
E-mail:
Child's Age:
Brief explanation of your situation:
Services that may be of interest:
Long Term Care Transitional Care
Respite Care Palliative and End-of-life-care
Please contact me by:
E-mail Mail Phone - Best time to call:

©2007 Exceptional Care, Inc.11 Independence Way, Newark, Delaware302-894-1001

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