When Submitting this Intake, we ask that any personal opinions be left out. We understand that in most cases there may be feelings attached to the situation. It is Family Connections Inc. Policy to follow all guidelines stated in the court orders and to remain a neutral party. If you have any questions, please email: sas@familyconnectionsinc.ca

SAS GUIDELINES PDF DOWNLOAD

Guidlines
Please read carefully and Initial each Guideline
I have read, and I understand. Please, Initial.
I have read, and I understand. Please, Initial.
I have read, and I understand. Please, Initial.
I have read, and I understand. Please, Initial.
I have read, and I understand. Please, Initial.
I have read, and I understand. Please, Initial.
I have read, and I understand. Please, Initial.
I have read, and I understand. Please, Initial.
I have read, and I understand. Please, Initial.
I have read and understand FCI's guidelines for SAS. *
You are responsible to READ and understand our SAS Program Guidelines. A PDF copy of our guidelines can be downloaded above.
Name of Person Submitting Intake *
Name of Person Submitting Intake
Phone of Applicant *
Phone of Applicant
Last name of child/ren
Please List Each child and their DOB
PARENT INFORMATION
*No visits will take place until all information for both parties has been completed.
Mother's Name *
Mother's Name
Phone
Phone
Father's Name *
Father's Name
Phone
Phone
VISIT INFORMATION
Please list any details for the visit and or court orders.
If dates and times requested cannot be fulfilled we will contact you.
Please list the names of all people who CAN attend a visit.
Visit Goals and Phase
ie: I would like my child to build a healthy relationship with their mom/dad. or I would like to learn some positive parenting skills.
Visiting Phase and Purpose of Visit *
Please choose one phase.
LEGAL INFORMATION
List any court-ordered specifics.
We ask that a copy of the restraining order be emailed to sas@familyconnectionsinc.ca