Consent to Virtual Mediation

I understand that the mediation session will be conducted virtually, and consent to participate via video conferencing or teleconferencing.

I consent to participate in the mediation session virtually.

Confidentiality

I acknowledge my responsibility to uphold confidentiality and ensure privacy during the virtual mediation session.

I agree to maintain confidentiality of the mediation process.

Technology and Security

I understand that there are potential risks related to the use of technology during virtual mediation, including interruptions, unauthorized access, or technical difficulties.

I acknowledge and accept the risks associated with virtual mediation technology.

Additional Comments

Signature

Date

Virtual Mediation Consent Form

Consent to Virtual Mediation

Confidentiality

Technology and Security

Additional Comments