Co-Parenting Solutions, LLC

248.330.5351 | | 31000 Telegraph Rd., Ste 280, Bingham Farms, MI 48025

Client Intake Form


Contact Information:


Cell: Work


Preferred Contact: 


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:

Signature arrow
Co-Parenting Solutions, LLC
Signature Certificate
Document name: Client Intake Form
lock iconUnique Document ID: dd9c51a08119d802499834c03024bad5625a186a
Timestamp Audit
July 24, 2020 4:45 pm EDTClient Intake Form Uploaded by Jordana Wolfson - IP