Co-Parenting Solutions, LLC

248.330.5351 | jordana@coparentingsolutions.com | 31000 Telegraph Rd., Ste 280, Bingham Farms, MI 48025

Contract for Co-Parenting Counseling and Skill Building Sessions


I am requesting services from Co-Parenting Solutions, LLC in order to resolve issues related to the custody and care of our children in an effort to work out the terms and conditions under which I shall Co-Parent, and/or to receive strategies and develop skills that will enhance our Co-Parenting style. I acknowledge and agree to the following conditions:

  1. I agree that while everything said during an individual session is confidential between myself and Ms. Wolfson and protected by the standard Notice of Privacy, any discussion during a joint session can be forwarded to both parties in a general summary if requested by one party. Release of information to any other professionals or agencies beyond the two Co-Parents must be authorized in writing by both parents so as not to violate the confidential nature of our work together unless services Court Ordered (see contract for Court Ordered cases). In that case, information can be released to the Judge or professionals from the Friend of the Court.
  2. I understand that I am encouraged to make a sincere effort toward focusing on the Co-Parenting process in sessions without intention of using discussion during these sessions in any pending or subsequent litigation.
  3. I understand that Ms. Wolfson is a neutral party and her role is to educate parents and advocate for the needs of our children in this process.
  4. I understand that recording devices shall not be used under any circumstances during a session due to the confidential nature of sessions.
  5. I understand that individual Co-Parenting Skill Building and Counseling Services has a fee of $180 per session and payment is required at the time of the session. Other fees may be charged in addition to the sessions at a rate of $180/hour including:
    •  Consultation by employees of Co-Parenting Solutions with other professionals
    • Email communication (unless it is just for scheduling appointments)
    • Telephone conversations in excess of five minutes
    • Travel time and expenses, if relevant

Each parent will be solely responsible for 50% of the fees for shared sessions and will not be responsible for the other person’s half.

  1. Policy on Missed Sessions:
    I agree to pay the per session fee for any session booked, unless the session is cancelled at least twenty-four hours in advance. If I do not attend a session booked, I will pay the full session fee within three days of the session, after which I agree that I will be charged interest, and any costs of collection.

By signing below, I acknowledge that I have read and understand the conditions of the Co-Parenting counseling contract, and have had my questions answered before signing.

Parent Name:
Date Signed:  

Revised 12/2019

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Co-Parenting Solutions, LLC https://www.coparentingsolutionsllc.com
Signature Certificate
Document name: Contract for Co-Parenting Counseling and Skill Building Sessions
lock iconUnique Document ID: 48cbab377d038d4b29aac073e795f75222d5793a
Timestamp Audit
July 24, 2020 2:53 pm EDTContract for Co-Parenting Counseling and Skill Building Sessions Uploaded by Jordana Wolfson - jordana@coparentingsolutionsllc.com IP 75.128.132.184