• Custody Contract

    Please note if there is joint legal custody, both parents will need to complete this form.
  • PSYCARE POLICIES REGARDING JOINT CUSTODY


    1. PsyCare providers do not conduct custody evaluations or give custody opinions.
    2. If parents have joint legal and medical custody, both must agree on the treatment plan for the children to be treated by PsyCare.
    3. In court custody matters, children’s records will be released only by an order by the judge or to an attorney appointed by the court to represent the child. In court matters, children own privilege to their records.
    4. Records will not be given to parents. Such violation of confidentiality would destroy the therapeutic relationship.
    5. All parents, even non-custodial parents have a right to know how the child is doing in therapy.
    6. If adversarial conditions between the divorced parents are contaminating the child’s therapy and causing the child additional guilt, anxiety, and stress, the PsyCare provider will recommend termination of therapy until the parents attend Parent’s Turn, and/or the children attend Kid’s Turn, a community service to aid children of divorce.

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  • A) Transportation will be arranged by the parent who the child is residing with on the date of scheduled appointment and/or agreed upon mutually between parents.
    B) The parent scheduling the appointment will be responsible for canceling appointments within 24 hours and/or paying any associated late cancellation fees. Parents agree to communicate with each other when cancelling
    or rescheduling appointments.
    C) Copays/Deductibles are to be paid at the time of session, please list only one (1) parent who will be financially responsible for all balances even if both parents are legally responsible for payment.
    D) PsyCare does NOT do mediation or get involved with parents financial arrangements.

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