COMPLETED BY BOTH PARENTS OF CHILD
By signing below, I have read and agree to the policies above A through D.
*Note: This custody contract AND pages 1 & 2 of “So Cal Psychiatric Care’s Welcome Form” (found on our website) needs to be signed separately by both parents. Please ensure this contract and /or all paperwork is completed and signed by both parents prior to child’s appointment to avoid the child’s appointment being rescheduled or cancelled. These policies are consistent with California State Laws.