HIGH CONFLICT INSTITUTE (HCI)
CONSULTATION AGREEMENT

Name *
Name
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Best Phone Number to Reach You
Length of Consultation
DOCUMENTS: If you wish to have documents reviewed in advance, please forward to us after scheduling, at least 48 hours in advance of your appointment. NOTE REVIEW OF DOCUMENTS IS AN EXTRA CHARGE AND MUST HAVE BEEN PAID FOR ONLINE WITH CONSULT *
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I understand that neither High Conflict Institute nor Bill Eddy, LCSW, Esq., are providing me with legal services or advice, nor therapy services or advice, but rather informing me about general problems, patterns and approaches that may be considered in high-conflict disputes with one or more persons who may have a high-conflict personality. I understand that HCI encourages me to seek ongoing consultation with local professionals for handling high-conflict cases. I hereby release HCI and Bill Eddy from any liability for my actions and decisions in my case(s). I understand that this consultation is intended to be confidential, but does not have the confidentiality protections of a therapist-client or attorney-client relationship.. For more information on confidentiality please see https://bit.ly/2HlHwHC. *
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I would like to have my consultation by:
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Phone Number to Use for Consult (if needed)
Phone Number to Use for Consult (if needed)
My attorney will
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I hereby agree to the terms above: *
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PLEASE TYPE FIRST AND LAST NAME BELOW
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Date
Date
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We will email a confirmation of the consultation date and time and the phone number to call for your consultation after receipt of this form and payment. If by Skype, we will contact you via Skype at the time of the consultation. *
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