The purpose of this conflict coaching intake form is to collect intake information so Lydia Carbone can best serve you. All information provided will be held in confidence. However, Lydia Carbone reserves the right to report suspected harm or crimes, such as suspicion of child or elder abuse or neglect. If such information comes up Lydia Carbone will contact you to discuss further. The information you provide will only be reviewed by Lydia and, if applicable, any co-mediator or intern approved to work with you.
