Gottman Referral Network

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Terms of Service for therapists

Please certify the following statements apply to as a therapist:

  • I have a Master’s or doctoral degree in a mental health field.
  • I am licensed or certified as a mental health professional in my field of study in the state, province or country in which I practice.
  • I carry professional liability insurance with a minimum amount of coverage of 1M/3M.
  • I have not been convicted of a felony or misdemeanor.
  • I have never had any licensing board or professional ethics body require me to surrender my license or been found guilty of a violation of ethics code, professional misconduct, unprofessional conduct, incompetence or negligence in any state, province or country.
  • I do not have any complaints, charges, or investigations pending against me by any licensing board or professional ethics body for violation of ethics codes, professional misconduct, unprofessional conduct, incompetence or negligence in any state, province or country.
  • I have never had any insurance company or Lloyd’s decline, cancel, refuse to renew or accept only on special terms any professional liability insurance.
  • I have never had any professional liability claim or suit against me.
  • I am not aware of any circumstances which may result in any professional liability claim or suit being made against me.
  • I am not engaged in any sexual misconduct with any of my current or former patients or any current or former patient’s spouse or any person with a direct relationship to the patient or former patient.
  • I will notify The Gottman Institute in writing within 30 days if any of the above information or answers change.
  • I have added the following statement to the disclosure statement I give my clients:
    While I have taken training in the Gottman Method of couples therapy, I want you to know that I (or my agency, if applicable) am completely independent in providing you with clinical services and I alone am fully responsible for those services. The Gottman Institute or its agents have no responsibility for the services you receive.

If you cannot certify any of the above statements, please send a written explanation to The Gottman Institute at customerservice@gottman.com. You will not be able to complete the application until doing so.

Termination Process

Please read and agree to the terms and conditions outlined in this agreement:

The Gottman Institute reserves the right to terminate participation in the Gottman Referral Network for the following reasons:

  • if the clinician fails to maintain their license or certification to practice independently
  • if the clinician fails to maintain professional liability insurance with a minimum amount of coverage of 1M/3M
  • if a Disciplinary Board finds against the clinician in any complaint (including non-Gottman Institute clients)
  • if The Gottman Institute receives a serious complaint that the Institute credits as having merit
  • if a judgment is made against a clinician in a court of law for any misdemeanor or felony
  • if The Gottman Institute has reasonable evidence to believe that the clinician is abusing alcohol and/or other drugs
  • if The Gottman Institute has reason to believe that the clinician’s functioning is impaired by physical, emotional, mental or other reasons
  • if The Gottman Institute has reasonable evidence to believe that the clinician has committed a breach of the American Psychological Association Ethical Principles and Code of Conduct
  • if the clinician fails to fulfill agreed upon financial commitments to The Gottman Institute
  • if The Gottman Institute has reason to believe that a clinician has failed to exercise that degree of skill, care, and learning expected of a reasonably prudent provider of same specialty under the same or similar circumstances
  • if The Gottman Institute has reason to believe that a clinician’s public presentation is inconsistent with the mission, goals and/or ideals of The Gottman Institute or in any way damages our name and reputation
  • if the clinician fails to meet the 'Terms of Service' for membership in the Gottman Referral Network
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