GENERAL INTAKE FORM - CoreTSolutions, llc. -
***COVID-19 CLOSURE FOR SOME SERVICES AS OF AUG. 12, 2020***

Hello,

Sadly, the COVID-19 cases have increased and have caused us to partially close for some in-person services. Some services will remain available only through Zoom at this time.

SUPERVISED VISITS -- During closure, they will be conducted through Zoom. We will supervise 30 minute chats to help families stay connected. Staff conducts these and take notes, same as in person services; we informed the clients that the California Superior Courts have encouraged this innovation to help carry-out the intent of the existing custody orders.
1. For infant children, we understand the difficulty. However, we have discussed the importance of a visiting parent still being able to see a child on a screen and allowing the parents voice to be heard to help maintain familiarity. This may only be possible for a few minutes, but it remains an option for even young children. (Just food for thought.)
2. For Domestic Violence cases/R.O. cases -- we ask that the protected parent have a 3rd party help facilitate setting up the sessions at home for the children so that the protected parent and restrained parent do not have any visual or auditory contact.
3. We ask the custodial parents in all cases to allow the children some privacy during the Zoom chats, to the extent the children are at an age they can safely be in a room by themselves. We understand logistics and age of the children must be considered.

ALL CO-PARENTING, PARENTING, ANGER MANGT., AND OTHER SPECIALTY COURSES -- They have been conducted via Zoom since April and they have been very successful. We require them to show ID on the screen, must remain live and interactive in the class; clients are tested on material and we issue the certificates upon completion of hours. All clients are allowed to make payments.

SUBSTANCE ABUSE ASSESSMENTS AND DRUG TESTING -- Our interviews will be done via Zoom with full interaction; scoring of tests remain the same; and the sub-contractor we use for drug testing will remain open.

MEDIATION -- conducted only via Zoom at this time.

LEGAL DOCUMENT ASSISTANCE -- the subcontractor has phone and email communications and will continue to assist clients virtually. She may also use Zoom if clients want a face-to-face.


ONLY IN-PERSON SERVICES THAT WILL REMAIN OPEN ARE SUPERVISED EXCHANGES -- We elected to continue this service due to the fact the parties do not remain in one area of the office for a long period of time and social distancing is not a problem. We will continue to have a MANDATORY MASK / ONLY ONE ADULT TO BRING CHILD/REN TO OUR DOOR POLICY. We will continue to have hand sanitizer at each doorway for all clients to use. Social distancing is also required and areas have been marked.

* We will continue to enroll clients, answer phones and emails.

* Supervised Visit Notes will still be provided upon request, following the protocol.

We have full faith the staff will be able to keep families connected using our Zoom services, keep the Court updated with reports for all services, all the while also keeping families and staff safe.

We will re-open as soon as it is deemed the Central Valley COVID-19 numbers are decreasing.

WE WILL PROCESS YOUR ONLINE ENROLLMENT AND PROVIDE EMAIL INSTRUCTIONS. All instructions will be sent to the email address you provide. Thanks for allowing us to continue assisting you during this chaotic time.

CoreTsolutions is a Court resource firm focused on providing many court ordered services, in one location, for your convenience. Discounts are offered if you enroll in more than one service. We have offices in both Fresno and Madera. Please fill out the required form to enroll in services.
Email address *
CONTACT INFORMATION: Please provide all your contact information AND court case # / information. ALL CLIENTS MUST COMPLETE THIS SECTION OR WE CANNOT START SERVICES: Name, Address, Phone Number & Email (must provide an email address), and Employer. *
YOUR attorney's name, phone number, AND email address.
Please include the exact names and titles: COURT CASE NAME AND CASE # (i.e. Petitioner, Respondent) that are on the court documents AND CASE #.
OTHER PARTY'S INFORMATION: Name, address, phone number, email, and THEIR attorney. *
Spanish Services - Necesita Ud. servicios en español?
Si necesita Ud. ayuda en español, llame al 559-330-7435 y un miembro del personal lo ayudará. Por favor deja un mensaje o mensaje de texto.
DO YOU NEED SPANISH SERVICES ?- Necesita Ud. servicios en español? *
DO YOU NEED SERVICES IN ANOTHER LANGUAGE BESIDES ENGLISH OR SPANISH? IF SO, PLEASE LIST THE LANGUAGE.
Clear selection
PLEASE INDICATE ALL SERVICES YOU ARE ENROLLING IN: You must complete the form in all required and relevant services or areas. WE OFFER DISCOUNTS IF YOU ENROLL IN MORE THAN (1) SERVICE. READ YOUR COURT ORDER CAREFULLY TO SEE IF WE OFFER THE SERVICES YOU MUST ENROLL/COMPLETE. When you hit the "Submit" button at the end of this intake, all of this information will be sent directly to our office.
IF A REQUIRED RESPONSE SECTION DOES NOT APPLY TO YOUR CASE, PLEASE CHECK THE "NO" BOX OR TYPE "N/A". Otherwise, the submission will be invalid.
SERVICES: Please mark all that apply. 25.00 discounts apply to each service if you enroll in more than one service. AS OF FEB. 1, 2020, OUR CO-PARENTING AND PARENTING COURSES ARE 300.00 EACH AND ALL CLIENTS MAY MAKE PAYMENTS. WE WILL OFFER A WEEKEND COURSE 2 TIMES PER YEAR. CHECK WITH STAFF FOR DATES AND TIMES. SPECIALIZED COURSES ARE 325.00. *****DURING COVID-19 CLOSURE, THE COURSES AND SUPERVISED VISITATION WILL BE OFFERED THROUGH ZOOM. CLIENTS WILL PARTICIPATE VIA WEB FROM REMOTE LOCATION OF THEIR CHOOSING. ******** *
Required
IS THERE A CURRENT COURT ORDER? If yes, you MUST provide a full COPY of the Order or the most recent Minute Order (if the Order After Hearing is not available yet). You can scan/email to our office: CoreTSolutionsEnroll@yahoo.com *
Required
If you answered "YES" above, please give a general summary of the Order: {Example: Father is custodial parent with Mother allowed supervised visits 2 hours per week}
IS DOMESTIC VIOLENCE AN ISSUE IN YOUR CASE? (You do not have to have a current restraining order to answer yes to this question.) *
IS THERE A CURRENT RESTRAINING ORDER? If so, please provide a copy of the current R.O., or a copy of the Petition listing the reasons you're applying for an R.O.; please scan/email to CoreTSolutionsEnroll@yahoo.com ; you will NOT be enrolled in the same class. *
If you attempted to gain an Domestic Violence R.O. but it was not granted, please explain.
*The Co-parenting courses and Parenting Courses meet the required (12) hour curriculum standards set by the Fresno Superior Court and other surrounding valley Courts.
The CO-PARENTING Classes are offered on average, every 4 weeks, usually on Tuesdays and Wednesdays, 5PM– 8 PM. PARENTING Classes will be scheduled every 2 months, normally on a 3 night/4 hour per night schedule. When you complete the intake, we will let you know when the next available class will start. Our website calendar will be updated as well. - At least one SPANISH CO-PARENTING CLASS will be offered every 2-3 months. The schedule will be maintained by the Bi-Lingual Instructors and they will update all clients immediately.

- The CO-PARENTING COURSE & PARENTING COURSE FEE is $325.00, but we offer a $25.00 discount for low-income families. We will also make payment arrangements with you, with minimum $95.00.00 payments. - The Certificate of Completion will be provided after completion of the Class AND upon payment in full. (Late fees will apply if you do not make your bi-weekly payments or make payment arrangements with management if you are going to be late making a payment.)
ONLY ANSWER THIS SECTION IF YOU ARE ENROLLING IN CO-PARENTING CLASS (OR) PARENTING CLASS CLIENTS: If you are attending Co-parenting or Parenting classes, please complete the following questions:
Yes
No
Don't have an opinion
Does not apply to my case.
Have you attended Co-parenting or Parenting classes before?
I believe I need to learn skills to improve my co-parenting or parenting.
I believe the other parent needs to learn skills to better co-parent with me.
We both need to learn how to be better co-parents.
Do you believe you can learn new Co-parenting skills or new Parenting skills?
If domestic violence is an issue, do you believe you will gain skills to help you and your children better deal with the perpetrator?
ONLY FOR DRUG TESTING AND DRUG & ALCOHOL ASSESSMENT CLIENTS: Appointments must be made to go over testing and assessments. If you are seeking a Drug and/or Alcohol assessment or Drug Testing services, please check the correct box for the question: All testing is done through Express Drug Testing. We charge 35.00 administration fee and provide all results to parties and the Court. Payments for tests are paid directly to Express or our office and we will forward payment for you.
YES
NO
DRUG
ALCOHOL
BOTH DRUG & ALCOHOL
TEST RESULTS WERE POSITIVE
TEST RESULTS WERE NEGATIVE
Drug and/or Alcohol Assessments: Have you ever completed a drug/alcohol assessment before? Yes or No.
If yes, what type:
What were the overall results?
Do you have those assessment reports available for review?
Self-referred AND voluntary to CoreTSolutions
Court ordered to contact CoreTsolutions?
DRUG TESTING/ASSESSMENT DOES NOT APPLY TO MY CASE.
ONLY FOR DRUG/ALCOHOL TESTING CLIENTS:
YES
NO
0 to 3 months ago
3-6 months ago
6-12 months ago
I have been asked to but I have never complied.
Scheduled testing
Random testing
Have you ever been tested before?
When did you last test?
If court ordered, do the terms require scheduled or random testing?
DRUG ASSESSMENT OR TESTING DOES NOT APPLY TO MY CASE
ARE YOU TESTING THE OTHER PARENT?
HAVE YOU EVER TESTED THEM BEFORE AND IF YES, WHEN?
WHAT WERE THE RESULTS WHEN YOU TESTED THE OTHER PARTY?
REQUIRED TO ANSWER IF ENROLLING IN DRUG TESTING -- WHO IS TO PAY FOR THE TESTING?
OTHER DETAILS the court has included in your drug testing terms:
FOR SUPERVISED VISIT AND EXCHANGE CLIENTS: Supervised Visits or Exchanges require parties to attend an Orientation which is held separately for custodial and visiting parties. YOUR INVOICE WILL LIST YOUR ORIENTATION DATE AND TIME AND YOU MUST CONTACT OUR OFFICE TO RE-SCHEDULE. You must complete an Orientation before services can begin. If you are seeking supervised visitation or exchanges, please answer the following questions:
✽ Please note that all clients who seek Supervised Visits and Exchange services MUST: 1. Meet with a staff member and complete an Orientation interview, 2. complete all intake forms, 3. sign all contracts related to California Rule of Court rules and, 4. Sign all forms related to our company policies. We will NOT provide any services until any and all requirements are completed.
REQUIRED TO ANSWER ALL OF THE FOLLOWING IF ENROLLING IN SUPERVISED SERVICES -- Are you the CUSTODIAL parent, or the VISITING parent who has supervised visits/exchanges?
PER THE ORDER, HOW MANY VISITS ARE ALLOWED PER WEEK? (Frequency is dictated by the court order. We only offer a max. of 2 hours for in-person visits and 30 minute Zoom chats when /if closed due to COVID-19.)
Clear selection
ARE YOU ONLY ENROLLING IN SUPERVISED EXCHANGES ?
Clear selection
For Supervised exchanges, which days and times do you need services. (Please keep in mind our office hours are M-Th 9am-8pm, Fri. 9am-7pm and Sat. & Sun 9am-6pm)
WE NEED TO KNOW THE CHILDREN'S SCHOOL SCHEDULE IN ORDER TO BOOK VISITS. PLEASE LIST THE SCHOOL HOURS OF THE CHILDREN
How many children will be part of the visitation program?
Clear selection
What are the ages of the child/ren?
Please mark the box for each child.
Main reason(s) Court has ordered supervised visits or exchanges? Check all that apply.
Is the supervised parent currently on PAROLE or PROBATION? If yes, please provide 1) a COPY of all Court/Agency reports detailing the terms of Parole or Probation, AND 2) the most current Parole/Probation officer report. Also, Please list all CPS history if any. In addition, please list all law enforcement contacts (i.e. summary of calls made, arrests, and the reasons for the calls/arrests, etc..)
Clear selection
If the visiting parent is on Parole or Probation, please mark the issues related to their case:
Custodial Parent's vehicle description & license plate # . Include as much information as possible.
Visiting Parent’s vehicle description & license plate #. Include as much information as possible.
ANY CONVICTIONS OF CHILD SEXUAL ABUSE WILL PRECLUDE A PARTY FROM PARTICIPATING IN SUPERVISED VISITS WITH OUR COMPANY.
ARE THERE CURRENT ACCUSATIONS OF CHILD SEXUAL ABUSE AGAINST THE VISITING PARENT? (Not convictions.) If yes, please provide copies of the law enforcement reports.
Clear selection
PRIVATE MEDIATION CLIENTS – You will be sent a separate Questionnaire when you enroll.
CLIENT TRANSPORT SERVICES: This service is sub-contracted out. Please include: 1) Name of Case, 2) Case Number, 3) Party to be transported, 4) Days & Times of transport, and 5) Locations of pick up and drop off:
OFFICE SERVICES: We have offices in Fresno and Madera currently. Which office do you prefer to have services at? Please mark any option that you prefer if you seek rural area services. *
If seeking rural services, what is the primary service you need?
Clear selection
NOTE: Reminder that you must provide a current phone # AND email address for us to contact you.
Please include the phone # and email that you use or check on a regular basis.
CoreTSolutions, LLC has packages of information for each service that will be supplied to the client at their first scheduled appointment. Packages include: Fee Contracts, Policy and Procedures, Client Feedback/Surveys and Complaint Forms. The Co-parenting classes have full PowerPoint lectures that will be supplied to all clients for their keeping.
Thank you for contacting us. We look forward to serving your family. CoreTSolutions Staff
A copy of your responses will be emailed to the address you provided.
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