Contract for Court-Related Services
I, , voluntarily consent to the following court- related service(s) with Jordana Wolfson, LMSW, Ed. Specialist, MA.:
Parenting Time Coordination – Court-Ordered intervention in decision-making for children where specific stipulations are set forth by the Court for Co-Parenting Solutions, LLC to resolve disputes of the family. The scope of this work is determined through a specific Court Order naming Co-Parenting Solutions, LLC/Jordana Wolfson as the Parent Coordinator that must be signed by both parties.
Co-Parenting Counseling – Court-Ordered educational and therapeutic intervention to improve the Co-Parenting relationship through learning about the positive impact of cooperative Co- Parenting on children and striving toward effective communication to improve Co-Parenting in two homes.
Reunification Therapy – Court-Ordered therapeutic intervention for families in two homes when the child(ren) find difficulty visiting with and/or having a positive relationship with one parent.
Supervised Therapeutic Parenting Time – Court-Ordered therapeutic intervention and visitation for families in two homes when the child(ren) find difficulty visiting with and/or having a relationship with one parent and the parent is ordered by the Court to only visit with their child in the supervised therapeutic setting that Co-Parenting Solutions, LLC can provide.
I am aware of the reasons for these services. I also understand that these services differ from traditional mental health services in the following ways:
I, the undersigned do hereby understand and voluntarily consent to the terms and conditions described above. I have had the opportunity to have my questions answered prior to signing this form.
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Document Name: Contract for Court-Related Services
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