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Appendix 3: Sample Agreement

Mutual Agreement Between Recovery Partners

 

I, _______________, agree to enter into a Recovery Partner agreement with ________________, as a way to be supported and held accountable in dealing with behaviors that keep me from the best God has for me. I am seeking recovery from these ineffective patterns of behavior so that I may become more fully connected to God, others and myself.

I will make a sincere effort to:

  1. Focus on the Twelve Steps and scripture as a tool to enhance my relationship with God and others.
  2. Be available by phone or to meet in person.
  3. Share my true feelings with my “recovery partner.”
  4. Refrain from giving lengthy explanations when sharing.
  5. Complete the homework assignment each week.
  6. Spend a minimum of 15 minutes each day reading scripture, praying and meditating, including specific prayer for my recovery partner.
  7. Respect confidentiality by refraining from disclosing information about my “recovery partner.”
  8. Accept some degree of discomfort as part of the healing process.
  9. Support my “recovery partner” by listening attentively and giving him/her my undivided attention.
  10. Be kind to myself by accepting personal progress rather than perfection on my journey toward wholeness and seeking God’s will.
  11. Not to overly spiritualize my sharing.

The term of this agreement is from __________________ to __________________.

We agree to meet _________ (weekly, monthly, etc.) and spend time reviewing the progress and compatibility of this relationship. If, for any reason, either partner feels this relationship does not serve his/her recovery needs, notifying the other partner can terminate the agreement.

Signed:_________________________________

Date:____________________________________