marriage and family therapy services in Santa Rosa, CA divorce related counseling in Sonoma County co-parenting plan for young children and teenagers
Dana Schneider MFT Sonoma County child specialist and counselor emotional impact of divorce on young children
collaborative divorce professionals in Northern California

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About Dana


Divorce Related Services
Co-Parenting Counseling
High Conflict Co-Parenting Counseling
Reunification Therapy
Child Specialist
Child Therapy
Private Mediation
Parenting Coordination/Special Master
Collaborative Divorce Services
 

Marriage & Family Therapy

Training & Consultation

Client Forms & Resources
Intake Form (pdf)
Consent to Treat (pdf)
Release of Information (pdf)
Detox Negative Intimacy (pdf)
Four Parenting Patterns (pdf)
Bibliography (pdf)
Divorce Rules 101 (pdf)
Parenting Plan (pdf)
 


Email Dana Schneider

Children's Ability to Cope Post Divorce
Dana F. Schneider MA, MFT
718 Spring Street, Santa Rosa, CA 95404
tel 707-566-9303 / fax 707-528-4876
danafschneider@gmail.com
parenting plan for children of divorced parents
high conflict divorce mediation in Santa Rosa

Client Forms

If you have decided to seek the services of Dana Schneider please review, complete and bring to the first meeting the following forms:
  1. Client Intake
  2. Consent to Treat
  3. Release of Information
Some of the questions may not pertain to you or your situation. Feel free to simple skip over those questions or discuss them in our first meeting. If you have any questions please contact Dana.

Client Intake

This is a detailed questionnaire that helps Dana with historical and developmental information that can be very useful in the first meeting. This form enables Dana along with the client to begin identifying goals for counseling.
intake-form.pdf

Consent to Treat

This is a brief form clarifying Dana's office policies and practices including the limits to confidentiality.
client-consent.pdf

Release of Information

This is a form that allows Dana to discuss your history, school records, medical and psychological information with collateral professional contacts.
info-release.pdf


Detox Negative Intimacy

This is a chart prepared by Isolina Ricci, Ph.D and provided with her permission. I often refer to this form when working as a co parenting counselor.
detox-negative-intimacy.pdf

Four Parenting Patterns

This is a chart prepared by Isolina Ricci, Ph.D and provided with her permission that identifies the 4 parenting patterns commonly used after divorce.
parenting-patterns.pdf


Bibliography

This is a list of publications, articles and books that may be helpful to you.
Bibliography.pdf
counseling for families, teens and kids in Sonoma County
©2010-2014 Dana Schneider MA, MFT
Licensed Marriage & Family Therapist #M13811
All rights reserved.