PROCARE — Counselling Booking Form - Family & Divorce: Mediation

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MEDIATION & FORENSIC SERVICES

Please provide your info and we will contact you

Your name *

First Name

Last Name

1. MEDIATION: Indicate services required

Divorce & Separation

Rights of Unmarried Fathers

Care & Contact Disputes

Post-Divorce Disputes

Urgent Applications/Interim arrangements

Parental Responsibilities & Rights

Parenting Plans

Maintenance - As part of Parenting Plan

Extended Family Disputes

Adult/Elderly Care Disputes

Other / Comments - Mediation

2. FORENSIC INVESTIGATIONS: Indicate services required

Care and Contact

Urgent Applications

Substance Abuse committals

Child abuse investigations

Criminal and other investigations

Other / Comments - Forensic Investigations

3. OTHER SERVICES: Indicate services required

Supervised contact

Parenting coordination

Other / Comments

Your Contact details *

Phone number

Best time to phone: *

E-mail address: *

Town *

Suburb *

Message

THANK YOU, WE WILL BE IN TOUCH SOON

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