Servicios para la familia

Visitas supervisadas / Tiempo de crianza

El tiempo que pasas con tus hijos es importante, y cuando un tribunal o una situación familiar exige que ese tiempo sea supervisado, debería seguir sintiéndose como la crianza de los hijos, no como una inspección. El programa de Tiempo de Crianza de Hope Council ofrece visitas supervisadas en un entorno diseñado para garantizar la seguridad y la consistencia, con horarios que se adaptan a las necesidades reales de las familias, incluyendo las noches y los fines de semana. No se requiere remisión.

"*" indica los campos obligatorios

Este campo se utiliza con fines de validación y no debe modificarse.

PART 1 · My Information

Parent role*
You must select one of the following:*

OTHER PARENT

Please provide this information in order to assist in scheduling:

CHILD(REN)

Add a block for each child. Attach additional sheets if more space is needed.
Sex
Suma hasta 10 de campos repetidos.

ATTORNEYS OR SOCIAL WORKERS INVOLVED

List anyone — an attorney, Guardian ad Litem, or social worker — involved in the case.
Person
Suma hasta 10 de campos repetidos.

PART 2 · RELEASE OF INFORMATION

I hereby request and authorize the Supervised Visitation Program of the Hope Council on Alcohol & Other Drug Abuse to receive and disclose information and records to the Guardian ad Litem, both parents' attorneys of record, and the Court, as ordered. This authorization includes the exchange of information necessary for the administration, coordination, and reporting of supervised visitation services, including attendance, compliance, scheduling, observations, and other information relevant to the supervised visitation case, as permitted by applicable law.

TIME PERIOD & EXPIRATION

This authorization expires*

YOUR RIGHTS — PLEASE ACKNOWLEDGE

This authorization is voluntary*
I have the right to receive a copy of this authorization.*
I may withdraw this authorization at any time by written notice to Hope Council; the cancellation takes effect when received and does not apply to disclosures already made.*

SIGNATURE