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Supervised Visitation & Exchange Program Referral Checklist Thank you for taking the time to review our referral checklist. The items listed below are required for every case prior to starting Supervised Visitation/Exchange services. Materials may be faxed to our administrative office during normal business hours at [(940) 898-8527 ATTN: Holly Duke]. Required Documents _____ 1. A copy of the full, signed Court order. Also include any formal findings of domestic violence or copies of protective orders if they exist. If there is no Court order, please include a copy of the full treatment plan and/or a written voluntary agreement. ***These documents must be in our possession before any intake/orientation sessions can be scheduled. Intake Procedure _____ 1. After you have faxed us the required documents, each party should call to schedule an intake/orientation session. Both custodial and non-custodial parents involved in the visits and exchanges must attend a separate intake/orientation session. ***Children are not allowed to attend the intake/orientation session and there is no child care provided. Please make other arrangements before attending. _____ 2. The $35.00 registration fee for each intake/orientation is due prior to the start of the intake/orientation session. This session takes roughly one hour. Program guidelines/rules and fees will be reviewed, parties will have the opportunity to ask questions and contracts will be signed. Questions? Holly Duke, MS LPC Intern (940) 382-5328 ext. 23 or (800) 897-7068 ext. 23 |