Divorce and Custody Sample Clauses

Divorce and Custody. I understand that this provider is not a custody evaluator and cannot make any recommendations on custody. She can refer me to a list of licensed psychologists who provide custody evaluation if needed. She requires a copy of the current, standing court order showing custodial rights for each parent and/or the parenting agreement that is signed by both parents and the judge at the first intake session before she is able to meet with my child. I understand that she will need to have contact with the parent who has legal custodial decision making for medical issues before she sees my child for evaluation or treatment and will need to obtain written consent for the child to participate in counseling from the legal custodian, and prefers to have contact with both parents prior to seeing my child. Legal Proceedings – I understand that I am being asked to waive the right for this provider to be summoned by subpoena to court. The policy is set in order that this provider can preserve the efficacy and integrity of my therapeutic process and my relationship with me and my child(ren). This provider’s appearance in court can damage the therapist-client relationship and it is her ethical duty to make every reasonable effort to promote the welfare, autonomy, and best interests of her clients. By signing this agreement, I am waiving my right to have this provider subpoenaed and agreeing to not to have her or her records subpoenaed. Court Testimony – I further understand that there may be other conditions (such as a court order) that may place limits on the therapist’s legal ability to maintain my confidentiality. Due to the fact that the therapeutic process often involves disclosure of many matters which are confidential in nature, it is agreed that should there be any legal proceedings neither myself, nor my attorney, nor anyone else acting on my behalf will call on this provider to testify in court or at any other proceeding, nor will a disclosure of therapy records be requested. • If this provider is required to testify for court, speak with legal counsel, prepare documentation, etc. the fee is $300.00 an hour plus mileage and expenses incurred. This provider will not testify in divorce custody or mediation. A two hour minimum will be charged.
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