Agreement For Guardian Ad Litem Evaluation printable pdf download

GAL Agreement

Patricia Brady, M.S., LMHC, LMFT

Patricia Brady and Associates

84 High Street – Suite 8

Post Office Box 413

Medford, Massachusetts 02155

(781)395-0274

Cellular: (781)760-9974 Email:

AGREEMENT FOR GUARDIAN AD LITEM EVALUATION/INVESTIGATION

In Re:

______________________________________

Docket No: __________________________

Name: ______________________________________

Address: ____________________________________

____________________________________

Telephone: _______________________

Wk: _____________________________

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I understand that Patricia Brady has been appointed in a formal order in the matter

pending in the Middlesex Probate and Family Court for the purpose of conducting an

investigation and evaluation related to legal and physical custody of the children. This

appointment includes a specific statement regarding who is responsible for paying for

the evaluation. Insurance is not applicable to Court ordered evaluations/investigations.

In this matter, the fee is ordered to be shared equally. This document is designed to

inform you about how such investigations/evaluations are usually conducted and to

describe those responsibilities you have as part of this process. Before beginning the

process, some conditions must be met or agreed to by all parties.

All members of the immediate family as well as other relatives and prospective or

current caretakers may be asked to attend one or more interviews. Each party may

submit a list of people they would like me to contact as part of the process. This list

should include an explanation of how each person is relevant to the situation. I reserve

the right to determine who, when and where those individuals will be interviewed and

whether they will be interviewed individually or in combination with others. Every effort

will be made to create the least inconvenience.

Information will be gathered primarily through interviews. A second major source of

information may be the written and or oral reports of other professionals who have had

contact with any of the participants in the evaluation. Each party will be asked to sign all

necessary releases to speak with these professionals and to expedite the delivery of

records from psychologists, social workers, psychiatrists, school personnel, health care

personnel, medical and or psychiatric hospitals, residential schools, courts, law

enforcement, or substance abuse facilities. The parties are encouraged to send any

Agreement For Guardian Ad Litem Evaluation