Co-Parenting Solutions, LLC

248.330.5351 | jordana@coparentingsolutions.com | 31000 Telegraph Rd., Ste 280, Bingham Farms, MI 48025

Client Intake Form


Date:

Contact Information:

Name:  

Cell: Work

Email

Preferred Contact: 

Address:   

Relationship to Client:  

Place of Employment and Title:  

How did you hear about Co-Parenting Solutions, LLC?

Names of Any Legal Professionals You Have Engaged for Divorce Services:

Name of Therapists (If Applicable)

Which Judge is assigned to your case?

List any professionals from Friend of the Court you are working with:

Information on Shared Children:
 

Information on Non-Shared Children:
 

Names of Therapists You Have Engaged the Services of for your Children (If Applicable):

Leave this empty:

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Co-Parenting Solutions, LLC https://www.coparentingsolutionsllc.com
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Document name: Client Intake Form
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Timestamp Audit
July 24, 2020 4:45 pm EDTClient Intake Form Uploaded by Jordana Wolfson - jordana@coparentingsolutionsllc.com IP 75.128.132.184