Welcome! I'm glad you are here.
I'm hoping to get to know you and your child(ren) so I am best able to support a child-centered experience for them.
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Email *
Getting to know your child (ren) Name, age:
Tell me more... what does your child (ren) enjoy doing? Any suggestions about your child's personality or temperament that would be helpful to know?
Does your child have any medical concerns or allergies?
Who referred you to Family Matters?
Parent Information: name, address, email, phone number.
What type of communication do you have with the other parent? *
Attorney Contact Information: name, email, phone number *
Guardian ad Litem Contact Information: name, email, phone number *
Parenting Consultant contact information: name, email, phone number
Why is supervised parenting time requested and what are the primary concerns? *
Please note any concerns regarding the health, welfare, and safety of the child (ren) *
What are the payment arrangements?
Are there any of the following Orders in place between the parents? If yes, please send a copy of the Order.
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Are any of the following Orders in place that includes the child (ren), if yes, please send a copy of the Order.
Who will be transporting the child (ren) to and from the visits? Please note anyone other than the parent. Name, relation to the child (ren), phone number *
Are there any previous or active court orders restricting contact between parents and or children If so, please attach. *
Date of most recent Order *
Is there an upcoming court date? If so, please note the date and time *
Anything not covered that would be helpful for me to know?
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