The Healing Separation: Agreement Form (Page 6 of 6) in pdf

The Healing Separation: Agreement Form Page 6

Denver Psychotherapy and

Noeticus Counseling Center

Consultation Services, LLC

and Training Institute

Innovative Approaches to Counseling and Change ™

™

Resources for Personal and Professional Growth

6. The parent will not put the children in a position of spying and reporting on the

behavior of the other parent

7. Both parents will remain committed to working with each other on parenting the

children and to effectively co-parent with as much cooperation as possible.

It is important when a couple does a Healing Separation to minimize the emotional

trauma for the children involved.

E. Signing the Agreement:

We have read and discussed the above Healing Separation Agreement and agree to the

above terms of the agreement. Each of us furthermore agrees to inform the other partner

of any desire to modify or change any terms in the agreement, or to terminate the

agreement.

Partner #A _______________________________________ Date ________________________

Partner #B _______________________________________ Date ________________________

Therapist _______________________________________ Date ________________________

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The Healing Separation: Agreement Form Page 6