Family Rules Form
You can complete the highlighted fields on this form online and then print the form for easy reference. Only
text that is visible on the form is printed; scrolled text will not print. Any text you enter into these fields will
be cleared when you close the form; you cannot save it.
The rules of our family are listed below. All members of the family are able and agree to follow the rules. If
someone breaks a family rule, a consequence will be enforced.
Family rule Consequences
1.
1.
2.
2.
3.
3.
4.
4.
5.
5.
6.
6.
© 1995-2021 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are
trademarks of Healthwise, Incorporated.
This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this
information.
1