| CASE NO:_________________ |
| ORDER GRANTING SUPERVISED VISITATION THROUGH THE SAFE SUPERVISED VISITATION PROGRAMS OF THE VICTIM ASSISTANCE CENTRE, INC. |
| IT IS ORDERED AND DECREED that all periods of possession of or access to the minor child/ren:_______________________________ shall be supervised at all times through the SAFE Supervised Visitation Programs, projects of the Victim Assistance Centre, Inc., 1310 Prairie Street Suite 1030, Houston, Texas 77002, phone 713-755-5625. IT IS FURTHER ORDERED AND DECREED that both the Petitioner____________________and Respondent____________________shall contact the SAFE Supervised Visitation Programs, phone number 713-755-5625 on or before the ______of__________, 20__ for the purpose of securing an intake interview for registering for the above ordered supervised visitation program, and that both the Petitioner________________and Respondent________________ shall comply with all rules and regulations as promulgated by the SAFE Supervised Visitation Programs, or it's employee's, agents, associates, and/or volunteers to perform any action in contravention of the SAFE Supervised Program's rules and regulations. Further, the SAFE Supervised Program is in no way a party to the order, and this order shall not be construed so as to prevent the SAFE Supervised Programs from terminating any period(s) of Supervised visitation which is/are determined by the SAFE Program to be inappropriate. Signed on this ______day of _______________20__. _____________________________________ Presiding Judge |