RTFT Plan RTFT Plan 2020-09-22 REUNIFICATION AND THERAPEUTIC FAMILY TIME PLAN Name of Parent/Guardian* First Last Name of Child* First Last Are there other children? Yes No Name of Child (2) First Last Name of Child (3) First Last Name of Child (4) First Last Date of Referral* MM slash DD slash YYYY Date of Initial Meeting* MM slash DD slash YYYY Names of Attendees*Current ContactIs phone communication currently occurring?* Yes No If yes, with whom?* Is written correspondence occurring?* Yes No If yes, with whom?* Therapeutic Family Time Schedule, location and transportation arrangements:*Risk concern(s) and plans to address any identified concerns:*Is there anyone who may not have contact with the child(ren) and why?*Who will participate in Therapeutic Family Time?*Name of contact person for rescheduling visits First Last Phone number of contact person for rescheduling visits*Rescheduling procedures*Scheduling barriers to consider?*Special conditions affecting Therapeutic Family Time?*(e.g., health, court orders, cultural issues, etc). Parent/Guardian signature (1)* Parent/Guardian signature (2) Resource parent signature DCF SW signature RTFT worker signature* Today's date* MM slash DD slash YYYY
