Supervised Visitation Referral Form and Policies
In an effort to reunite families that have been disrupted, Parents Place provides the Supervised Visitation Program for families. The program allows children who have been separated from their families the opportunity to maintain a relationship with their parents while a permanency plan is being formulated.
Children and their non-custodial parents are able to spend quality time together in a safe and nurturing environment under the guidance of professionally trained staff who provide education, observation, documentation, and intervention, when necessary.
REFERRAL PROCESS
Complete Supervised Visitation Referral Form
Read and Sign Supervised Visitation Policies - Note: this form will redirect you to the $75.00 nonrefundable intake fee
Pay $75.00 non-refundable intake fee
1 - Supervised Visitation Referral Form
In order to begin the intake process, please fill out, complete, and submit this form. During the online intake process, you will be required to pay a $75.00 nonrefundable intake fee by means of a credit card. If you’d like to pay using cash or check, please call to inquire. Please provide an e-mail address so that we can communicate updates and acknowledge receipt of paperwork.
E-mail any questions to Jarred.
2 - Supervised Visitation policies
I have read and agree to the above expectations and requirements. I understand that violating any provisions of this policy or making any threatening actions or abusive comments, can result in the termination of my visits on a permanent basis.
3 - Pay $75.00 non-refundable intake fee
You will be automatically redirected to the $75.00 nonrefundable intake fee