Although my responsibility to your child may require my involvement in conflicts between the two of you, I need your agreement that my involvement will be strictly limited to that which will benefit your child. This means, among other things, that you will treat anything that is said in session with me as confidential. Neither of you will attempt to gain advantage in any legal proceeding between the two of you from my involvement
with your child.
In particular, I need your agreement that in any such proceedings, neither of you will ask me to testify in court or produce records, whether in person, or by affidavit. You also agree to instruct your attorneys not to subpoena me or to refer in any court filing to
anything I have said or done. Note that such agreement may not prevent a judge from requiring my testimony or records, even though I will work to prevent such an event.
If I am required to testify or to produce records, I am ethically bound not to give my opinion about either parent’s custody or visitation suitability. If the court appoints a custody evaluator, guardian ad litem, or parenting coordinator, I will provide information as needed (if appropriate releases are signed or a court order is provided), but I will not make any recommendation about the final decision. Furthermore, if I am required to appear as a witness, the party responsible for my participation agrees to reimburse me at the rate of $250 per hour for time spent traveling, preparing reports, testifying, being in attendance, and any other case-related costs and $1 per page for all records.
Detailed descriptions of our services and policies, procedures, risks, and benefits of services are provided in the provider-client agreement, which you acknowledge that you have received. By signing below, you acknowledge that you have read, understand and agree to all of the points above.