NO. 				
IN THE INTEREST OF	§	IN THE DISTRICT COURT	
	§		
XXXXXXXXXXXXXXX	§	_____JUDICIAL DISTRICT	
	§		
A CHILD	§	_____ COUNTY, TEXAS	

	AGREED CONFIDENTIALITY ORDER
(Protected Health Information and Records)

	The parties have agreed to this order as evidence by the signatures appearing below.  
	IT IS ORDERED that any and all records of _____________ and __________ pertaining to __________________ released pursuant to his/her signed authorization, to which this Order is attached, and all testimony in this cause relating to, pertaining to, and/or disclosing any of the content of such records (hereinafter “the records and their content”), whether such testimony be given in court or in deposition, is and shall be confidential and shall be used by the parties and/or their attorneys only as necessary in connection with the above-entitled cause.
	IT IS ORDERED that the parties and their attorneys, agents, and experts are prohibited from publishing, copying, disseminating, or distributing any portion of the records and their content, save and except as is necessary in connection with the above-entitled cause and then, only in accordance with the orders below.
	IT IS ORDERED that the parties and their attorneys, agents, and experts shall take all the reasonable steps and actions to insure that the orders set forth herein are carried out and to insure that the intent of the orders set forth herein are carried out.
	To the extent necessary that any portion of the records and their contents needs to be revealed to an expert or witness in connection with this cause, IT IS ORDERED that such persons shall be provided a copy of this order at or prior to the time any portion of the records and their content is disclosed or provided to the person, and the party (including agents and representatives) providing such information to the expert or witness shall (i) admonish that person to abide by the terms of this order and to carry out its intent by keeping the records and their content confidential, and (ii) obtain that person’s written agreement to abide by the terms of this order as a condition to receiving all or any portion of the records and their content.
	Signed this _____ day of ___________________, 2012.

	
						JUDGE PRESIDING

APPROVED AND AGREED:

_________________________________________
xxxxxxx
Attorney for xxxxxxxx

_________________________________________
xxxxxxxx
Attorney for xxxxxxx