This contract is designed to assist you in achieving and maintaining positive changes in your relationship. During treatment, you will be asked to develop a number of these contracts that document reciprocal changes requested by you and your partner. By making public commitment and putting it in writing, you are actively taking steps toward achieving and maintaining positive changes in your relationship.
I, __________________________, agree to make every effort possible to make the following change(s) at my partner's request. I understand that this change is very important to my partner and therefore also very important to me.
Behavior change:
I, __________________________, agree to make every effort possible to make the following change(s) at my partner's request. I understand that this change is very important to my partner and therefore also very important to me.
Behavior change:
This contract will continue throughout treatment unless a new contract is substituted or until one or both parties decides to stop participating.
Patient:
_______________________________
Date:
Partner:
_______________________________
Date:
Therapist:
_______________________________
Date: |