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off SITE FAMILY MEDIATION INTAKE FORM
To be the greatest obstacle in reaching an agreement in mediation Indicate the reasons that best explain your reasons for separating Physical abuse / violence Poor Communication Threats Emotional abuse Drugs / alcohol abuse Incompatibility Mental illness Great deal of conflict Infidelity Taking advantage of the person Conflict about pets Is there any a Police File b Children s Aid Society file Other Do you have any disabilities you would like us to know about Are you living in the same house as...
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