You're taking a brave step. We're glad you're here.

This form takes about 5 minutes. It helps us understand where you are and how we can best support you as you prepare to reconnect with your child.

You don’t have to have all the answers. You don’t have to have it figured out. You just have to show up — and you’re already doing that. A member of our team will reach out within 2 business days to talk through next steps together.

Parent Intake Form

About you

Let's start with the basics so we know how to reach you.

First Name

Last Name

Phone Number

Email Address

Preferred Language

Best Time to Reach You

How would you like us to contact you first?

About your child

You don't need to share anything you're not comfortable sharing yet.

This is not a legal or clinical intake. We're not collecting information to share with anyone. We just want to understand your situation a little so we can match you with the right support from the start.

Child's First Name (or initials)

Child's Age

How long have you been separated from your child?

Are you currently in the court system related to this situation?

Where you are right now

No right or wrong answers here. Just honest ones.

What best describes your current situation? Check all that apply.

I have not seen my child in a while and want to reconnect

I am preparing for court-ordered supervised visits

My child is resistant or doesn't want to see me

I have a court date coming up and need to show I'm taking steps

I want to understand how to approach the first visit the right way

I was referred here by my attorney or the court

I found TTS on my own and want support

Other

In your own words

This is your space. Say as much or as little as you like.

What is the most important thing you want us to know about your situation?

What do you most want for your child as a result of this work?

Is there anything you're nervous or unsure about in this process?

How did you find us?

This helps us reach more families who need support.

How did you hear about The Therapeutic Solution?

I understand that submitting this form does not create a therapeutic relationship with TTS. A member of our team will contact me within 2 business days to discuss next steps. I consent to being contacted at the phone number or email I provided above.

You've got this. Our team will reach out within 2 business days. If you have an urgent court deadline, please call us directly at (702) 485-1313 so we can prioritize your intake.

The Therapeutic Solution & Family Trauma Treatment Center

Restoring Connections. Strengthening Families.

Las Vegas, Nevada | tts-nv.com | (702) 485-1313 | [email protected]

This program does not guarantee a specific court outcome. It provides structured preparation to support emotional readiness, child-centered engagement, and appropriate conduct throughout the reunification process.