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Ben C. Goal, Pay. D., P.A. Qualified Parenting Coordinator Parenting Coordination Intake Form Date: Referred by: Name: Date of Birth: If remarried, name of new spouse: Year of remarriage: Home Address:
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How to fill out parenting coordination intake form

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How to fill out a parenting coordination intake form:

01
Start by reading the instructions: Before filling out the form, carefully read the accompanying instructions. This will give you a clear understanding of the information required and how to provide accurate and relevant answers.
02
Provide personal details: Begin by entering your personal information, such as your full name, contact information, and address. Make sure to double-check the accuracy of this information to ensure effective communication throughout the parenting coordination process.
03
Include details about the other parent: The form may require you to provide information about the other parent involved in the coordination process. This can include their name, contact information, and relationship to the child. It is essential to provide accurate information to ensure proper coordination and communication between both parents.
04
Describe the issues or concerns: You will be asked to outline the issues or concerns that you wish to address through the parenting coordination process. Clearly describe these concerns and provide specific examples where necessary. This will help the coordinator understand your needs and facilitate effective co-parenting.
05
Provide background information: The form may require you to provide relevant background information about the child or children involved. This can include their names, ages, and any pertinent details about their well-being or development. Be sure to include any crucial medical or educational information that may impact the coordination process.
06
Indicate any legal matters: If there are any ongoing legal matters, such as custody disputes or court orders, it is essential to provide this information on the form. This will help the coordinator understand the legal context and take it into account during the coordination process.
07
Consent to the process: In some cases, the form may require your consent to the parenting coordination process. Review the terms and conditions carefully and indicate your agreement to participate. If you have any questions or concerns about the process, it is advisable to seek clarification before signing.

Who needs a parenting coordination intake form?

01
Parents going through a divorce or separation: Parents who are ending their relationship through divorce or separation often require parenting coordination to establish effective co-parenting arrangements and resolve conflicts concerning their children.
02
Parents facing ongoing co-parenting challenges: Even parents who have been divorced or separated for a while may encounter ongoing co-parenting challenges. These could be related to decision-making, communication, or adherence to parenting plans. A parenting coordination intake form can be helpful for these parents to seek professional guidance.
03
Parents with high-conflict relationships: If parents have a high-conflict relationship and are struggling to make decisions in the best interest of their children, parenting coordination can assist in managing these conflicts and promoting healthier co-parenting dynamics.
04
Children who may benefit from professional support: In some cases, children who are experiencing significant emotional or behavioral challenges may benefit from the involvement of a parenting coordinator. The intake form can be filled out by the parents to ensure the child's needs are properly addressed.
It is important to note that the specific requirements for the parenting coordination intake form may vary depending on the jurisdiction and the policies of the organization providing the service.
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Parenting coordination intake form is a document that helps gather information about the parents and children involved in a parenting coordination case.
The parents involved in a parenting coordination case are required to file the intake form.
Parents must provide accurate and detailed information about themselves and their children on the form.
The purpose of the form is to assist the parenting coordinator in understanding the family dynamics and issues that need to be addressed.
Information such as contact details, custody arrangements, parenting schedules, and any past history of conflict or concerns must be reported on the form.
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