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Residential at The Haven
4405 Desoto Road, Sarasota, FL, 34235
Waitlist Group Homes
1
Student Info
2
Parent Info
3
Authorized Pickup Info
4
Policy & Waiver
Student #1
First Name
Last Name
Date of Birth
Select date
Description of needs
Diagnosis
Funding
Waiver, private pay
Gender
Gender
Accomodations
Type of room
Timeframe
Estimated need for housing
Comments
Housing Style
Please note: Harmony House-Girls only (shared bedrooms only), Suncoast House-males only (shared bedrooms only), all other homes are co-ed
How did you hear about us?
Gender
Add Student
Continue
Med waiver
Private Pay
Waitlist for med waiver
Female
Male
Shared Bedroom
Private Bedroom only (Please note a capital contribution is required (contribution $50,000-$150,000 dependent on private room configuration)
Private or shared bedroom option
Immediate
1-5 years
5-10 years
Unsure
Co-Ed
Females only
Males only
Female
Male