Post Permanency Sibling Contact Agreement Completed Form Examples and Samples

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Completed Post Permanency Sibling Contact Agreement form showing extracted child and sibling visit details.

Source document used: Social Worker Case Mediation Notes

Case Notes - October 14, 2026. Regarding the permanent placement of Leo Miller (Case ID: #77829-B), we held a mediation session today with his adoptive parents, Sarah and Mark Thompson. Everyone is in agreement that maintaining ties with Leo's biological sister, Maya Miller, is vital for his emotional well-being. The sibling contact will commence on November 1, 2026. Visits are intended to foster a supportive sibling bond and help the children navigate their transition into separate homes. It was decided that these visits will take place every other Saturday from 10:00 AM to 2:00 PM at the Community Family Center on Oak Street. These sessions will be supervised to ensure a smooth transition, with Mr. David Henderson, a Senior Case Aide, overseeing the interactions. Transportation for these visits will be provided by the Thompson family, who have agreed to drive Leo to the center, while Maya’s foster guardian will coordinate her pickup. In addition to these bi-weekly visits, the children are permitted to exchange short, supervised phone calls once a week on Sunday evenings. Should a cancellation occur due to illness or an emergency, the supervising party must be notified at least 24 hours in advance, and a reschedule attempt will be made within seven days of the original date. Other individuals involved in the monitoring of these visits include Jane Doe, the lead social worker, who remains the primary point of contact for any policy questions or concerns regarding the agreement.