Professional supervised visitation and monitored exchange services

(669) 262-9847 info@bridgingfamilies.org
Bridging Families

Services

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

Use this form to provide the core information Bridging Families needs for preliminary intake review. Each case is reviewed individually before availability is confirmed.

There is a $100 intake fee per party, totaling $200 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.

  1. 1Service & Case
  2. 2Parents & Children
  3. 3Documents
  4. 4Contract
  5. 5Availability

Document upload limit: Maximum 10 MB per file and 20 MB combined.

Service and case information
Parents and children

Your information

Contact information for the person submitting this request.

Other parent's information

Contact information for the other parent in the case.

Children

Enter the number of children included in this service request.

Documents and identification

Please upload clear, current documents. If you selected that a current court order exists, include the operative custody/visitation order and any applicable restraining or protective orders.

JPG, PNG or PDF; maximum 10 MB.
PDF; up to 10 files. Required when a current order exists.
JPG or PNG; up to 10 files.
Service Contract and Terms of Service
Each parent completes a separate contract.

The online contract is the preferred method. Completing a contract does not confirm scheduling; intake review and provider availability must still be completed.

Complete and Sign the Online ContractDownload the Fillable PDF
How did you complete your contract?
PDF, DOC or DOCX; maximum 10 MB.
Intake availability and submit

After submission, Bridging Families will review the information and documents provided. Service dates are not confirmed until intake, case review, applicable agreements/fees, provider availability, and case-specific procedures are completed.