• A Better Way Counseling Service, LLC

    Therapy Agreement for Minors of Divorced/Separated Parents
  • *A form must be filled out for each parent of the child.*

  • Additional Considerations for Families in which Parents are Divorced/ Separated: 

    It is understood that in cases where parents are separated or divorced, both parents give permission for the provider to release any information obtained during the course of therapy to the other if they believe it is in the best interest of your child; however, it is also understood that for the provider to be the most help to your child, each parent needs to feel they can be honest about whatever difficulties they are having with parenting in their household.  Therefore, the provder will discuss with each parent only issues with their child occurring in their own household. 

    It is understood that the providers role is not to “go-between” or share information about one household with the other.  

    If conflict between parents appears to be interfering with your child’s treatment and well-being, the provider may recommend mediation, or a parent coordinator, to help resolve conflicts.

    If the provider is required by a judge to testify about this case, they are ethically bound not to give my recommendation about parents’ custody, visitation or capacity.  Please note that if they are required to appear as a witness, the party responsible for their court participation agrees to reimburse the provider at the rate of $200 per hour for time spent traveling, preparing reports, testifying, and any other case-related costs.  

    *Please note that we require a photocopy for our files of the most current parenting plan or custody document, if any exist, that pertain to care of the minor entering therapy.  This can also be provided to us electronically at abetterwaycounseling@gmail.com, or directly to the therapist. 

     

    I have read the Additional Considerations for Families in which Parents are Divorced/ Separated section of the Therapy Agreement between the Parents/Guardians of a Minor and the Therapist. I understand them and agree to abide by them. 

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