Request Supervised Visitation or Exchange Services

Start the intake process for professional supervised visitation, monitored custody exchange, virtual visitation, or supervised phone call services.

Request supervised visitation and monitored custody exchange services with Bridging Families

Request Form for Supervised Visitation and Exchange Services

Thank you for choosing Bridging Families. This form helps us begin the intake process for supervised visitation and monitored custody exchange services.

There is a $75 intake fee per party, totaling $150 for intake. For a breakdown of service costs by location and service type, please review our Cost of Services page.

Please complete the form below and upload the requested documents. If you have questions before submitting, contact us at info@bridgingfamilies.org.

Parent Information

Other Parent Information

Location of Supervised Visit or Exchange

How many children will be present for supervised visitation or exchange?

How many hours per week are required by the court order?

Upload Signed Service Contract and Terms of Service

Please upload your signed Service Contract and Terms of Service. Supported file types: .pdf, .doc, .docx. Max file size: 10 MB.

Upload Photo Identification

Please attach a recent photo of yourself and/or a clear copy of your driver’s license or other photo identification. Supported file types: .jpg, .jpeg, .png, .pdf.

Upload All Applicable Court Orders and/or Restraining Orders

Please attach all applicable custody, visitation, restraining order, and related court documents. Supported file type: .pdf. Upload up to 10 files. Max file size: 10 MB per file.

Upload Photo(s) of Child or Children

Please attach a recent photo of each child involved in the supervised visitation or exchange matter. Supported file types: .jpg, .jpeg, .png. Upload up to 10 files. Max file size: 10 MB per file.

Intake Meeting Availability

Please also schedule an intake meeting and provide your availability. After receiving your request, we will review the information and confirm next steps.