MediatorConsultant
Confidentiality Agreement is made on____/____/_____/
Each party participating in this mediation shall maintain confidentality of all information discussed and obtained by the mediator during the mediation and between the following listed participants. These proceedings shall remain confidential and not be discussed or disclosed to any non-participant unless it is otherwise agreed to by the participating parties or required by applicable law.
Client(s) Name:________________________________________________________________________
Client(s) Signature:_____________________________________________________________________
Client(s) Name:________________________________________________________________________
Client(s) Signature:_____________________________________________________________________
Client(s) Name:________________________________________________________________________
Client(s) Signature:_____________________________________________________________________
Co-Mediator(s) Name:__________________________________________________________________
Co-Mediator(s) Signature:_______________________________________________________________
Mediator(s) Name:_____________________________________________________________________
Mediatorconsultant:
Charlie Williams MediatorConsultant
8345 Glenoaks Boulevard, Unit 6
Sun Valley, California 91352-3511
Phone number: 213-8194097 or 818-9513663
Fax number: 818-951-3663
PGN@Verizon.net
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