IN THE COURT OF COMMON PLEAS JUVENILE DIVISION CUYAHOGA COUNTY, OHIO IN THE MATTER OF: Case No. Petitioner/Parent 1 Judge: Street Address SHARED PARENTING PLAN City, State and Zip Code v. Respondent/Parent 2 Street Address City, State and Zip Code We, the parents, , and , have a minor child or mentally or physically disabled child incapable of supporting or maintaining himself/herself (name and date of birth of child): . 1 American LegalNet, Inc. www.FormsWorkFlow.com The parents agree to the care, parenting, and control of their child as provided in this Shared Parenting Plan. FIRST: PARENTS' RIGHTS The parents shall have: A. The right to participate in major decisions concerning the child's health, social situation, morals, welfare, education, and economic environment. B. The right to reasonable telephone and/or Skype contact with the child when the child is with the other parent. C. The right to participate in the selection of doctors, psychologists, psychiatrists, hospitals, and other health care providers for the child. D. The right to authorize medical, surgical, hospital, dental, institutional, psychological and psychiatric care for the child and obtain a second opinion regarding medical conditions or treatment. E. The right to be notified in case of an injury to or illness of the child. F. The right to be present with the child at medical, dental and other healthrelated examinations and treatments, including, but not limited to psychological and psychiatric care. G. The right to inspect and receive the child's medical and dental records and the right to consult with any treating physician, dentist and/or other health care provider, including but not limited to psychologists and psychiatrists. H. The right to consult with school officials concerning the child's welfare and educational status, and the right to inspect and receive the child's student records to the extent permitted by law. I. The right to receive copies of all school reports, calendars of school events, notices of parent-teacher conferences, and school programs. J. The right to attend and participate in parent-teacher conferences, school trips, school programs, and other school activities in which parents are invited to participate. 2 American LegalNet, Inc. www.FormsWorkFlow.com K. The right to attend and participate with the child in athletic programs and other extracurricular activities. L. The right to receive notice of the other parent's intention to relocate. SECOND: ALLOCATION OF PARENTAL RIGHTS AND RESPONSIBILITES. A. General Responsibilities Each parent shall take all measures necessary to foster respect and affection between the child and the other parent. Neither parent shall do anything that may estrange the child and other parent, or impair the child's high regard for the other parent. B. Medical Responsibilities A parent shall notify the other parent promptly if a child experiences a serious injury, has a serious or chronic illness, or receives treatment in an emergency room or hospital. A parent shall notify the other parent of the emergency, the child's status, locale, and any other pertinent information as soon as practical, but in any event within 24 hours. The parents shall consult with each other about the child's medical care needs and each shall immediately notify the other parent about all major non-emergency medical decisions before authorizing a course of treatment. Parents have a right to know the necessity for treatment, proposed cost, and proposed payment schedule. Each parent may also secure an independent evaluation at his/her expense to determine the necessity for treatment. If the parties cannot agree regarding a course of treatment, care providers for the child. C. Both parents have shared parenting of the child as specified in this plan. Each parent, regardless of where an individual child is residing at a particular point in time, as specified in this plan, is the "residential parent", "the residential parent and legal custodian", or the "custodial parent" of that child. 3 American LegalNet, Inc. www.FormsWorkFlow.com decision shall control. The parents shall provide the other with the names and telephone numbers of all health D. Parenting Time Schedule Unless otherwise agree, the parents shall have parenting time with the child according to the attached Parenting Time Schedule, which shows the times that the child shall be with each parent on weekdays, weekends, holidays and vacation time. The Parenting Time Schedule is attached to this plan. E. School Designation shall be designated as the residential parent for school attendance and enrollment purposes. In the even that a change in schools is being considered, after consultation with the other parent: authorized to change school placement. Without a written agreement or court order, neither parent is authorized to change school placement. F. Other orders: G. Public Benefits shall be designated as the residential parent for receipt of public benefits purposes. H. The designation of a particular parent as the residential parent for the purposes of determining the school attendance and enrollment of the child or the receipt of public benefits for the child does not affect the designation of each parent as the "residential parent," "residential parent and legal custodian," or the "custodial parent of the child." I. Transportation (select one) Each parent shall be responsible for providing transportation for the child at the beginning of his/her parenting period. Each parent shall be responsible for providing transportation for the child to and from school and activities during his/her parenting period. is 4 American LegalNet, Inc. www.FormsWorkFlow.com We agree to the following arrangement for providing transportation for our child at the beginning, during, or end or a parenting period: J. Current Address and Telephone Number Each parent must keep the other informed of his or her current address and telephone number at all times. Any changes in address and telephone number should be reported to the other parent within fortyeight hours. current home address and telephone number, including cellular telephone number: current home address and telephone number, including cellular telephone number: K. Relocation Notice Pursuant to section 3109.051(G) of the Revised Code: If either of the residential parents intends to move to a residence other that the residence specified in the court order, the parent shall file a notice of