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  • Assessments & Alternative Dispute Resolution
    • Parenting Plan Assessments
    • Voice of the Child Reports
    • Settlement Focussed Parenting Plan Consultation
    • Mediation
    • Parenting Coordination
  • Therapeutic Services
    • Individual Therapy
    • Family Therapy
    • Marriage/Couple Counselling
    • Child/Youth Counselling
    • Co-Parent Coaching
    • Sex Therapy
    • Multi-Day Family Intervention
  • Consultation & Training
    • Case Consultation for Mental Health & Legal Professionals
    • Internships and Mentoring for Mental Health Professionals
    • Training for Community Agencies and Organizations
  • Parental Education and Consultation
  • About Us
    • About Successful Families Inc.
    • Our Team
    • Successful Families Services
    • Fees & Scheduling
    • Careers
  • Resources
    • Resources
    • Forms
  • Successful Families Blog
  • Contact Us
Logo Logo Logo Logo Logo Logo
  • Assessments & Alternative Dispute Resolution
    • Parenting Plan Assessments
    • Voice of the Child Reports
    • Settlement Focussed Parenting Plan Consultation
    • Mediation
    • Parenting Coordination
  • Therapeutic Services
    • Individual Therapy
    • Family Therapy
    • Marriage/Couple Counselling
    • Child/Youth Counselling
    • Co-Parent Coaching
    • Sex Therapy
    • Multi-Day Family Intervention
  • Consultation & Training
    • Case Consultation for Mental Health & Legal Professionals
    • Internships and Mentoring for Mental Health Professionals
    • Training for Community Agencies and Organizations
  • Parental Education and Consultation
  • About Us
    • About Successful Families Inc.
    • Our Team
    • Successful Families Services
    • Fees & Scheduling
    • Careers
  • Resources
    • Resources
    • Forms
  • Successful Families Blog
  • Contact Us
 

Forms

Click to download any of the forms below:

  • Intake Form
  • Counselling Consent (for all types of counselling)
  • Michelle Hayes Curriculum Vitae
  • Voice of the Child Retainer
  • Parenting Plan Assessment Retainer Agreement (Section 30, CLRA)
  • Open Mediation Retainer
  • Closed Mediation Retainer Agreement
  • Parenting Coordination Agreement
  • Multi-Day Family Therapy Retainer Agreement
  • Privacy Policy
Contact
1235 Fairview Street Suite 217
Burlington, Ontario
L7S 1Y3
Email: info@successfulfamilies.ca
Phone: (905) 667-1999
Fax: (905) 387-7530
Our Blog
  • Pink Shirt Day 2022
  • The Skill of Active Listening
  • Surviving Isolation While Not Feeling Alone
© Copyright 2017 Successful Families Inc.

Welcome to Successful Families

We are currently not accepting new referrals for reconciliation therapy or parenting coordination.

There is a 10 week waiting list for Section 30, CLRA Parenting Plan Evaluations

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