Parenting Coordination Forms

Pay Your Retainer

Your portion of the retainer is $4,000.00 and is due immediately, prior to your first appointment.

The button below opens our secure payment page in a new tab.

Make a Payment

Your Video Appointment Link

Use this same link for every scheduled session.

For a smoother scheduling experience, this same link works for all of our sessions. Just return to this page whenever we meet. Your privacy is safeguarded. Only scheduled participants are admitted, so your appointment stays private.

Parenting Coordination Meeting

Meeting ID 857 7913 8954
Passcode 292775
Join Zoom Meeting

This page includes 4 separate forms, numbered in the order we recommend completing them. Each card opens its own form in a new browser tab, so this page will stay open while you work. Please work through them in order, finishing one before moving on to the next. All documents and payments must be completed prior to the first session.

What to Expect

Before Your First Session

  • Complete and return all forms above immediately, before your first appointment.
  • Include contact information for other professionals involved with your family, such as therapists and your guardian ad litem.
  • Prepare a list of your goals for parenting coordination.
  • First sessions are held individually. Bring any documentation you would like reviewed to that session.
  • Paying in cash? You may drop it off at the office. Please email first to discuss.

Dr. Tracy Riley, LCSW

  • Florida Supreme Court Certified Family Mediator
  • Qualified Parenting Coordinator
  • Qualified Social Investigator
Office 3560 Cardinal Point Drive, Suite 103
Jacksonville, FL 32257

You can reach Tracy Riley Counseling and JAX Hypnosis by phone at 904-704-2527 or by email through our website’s secured, confidential contact page .

Contact Us