Divorce: Who Makes Medical Decisions for Our Child?
In most California divorces, parents share joint legal custody, meaning that together they make medical decisions involving their children except for emergencies. If they cannot agree on important care, like surgery or vaccinations, they may need Mediation or a judge to decide.
Joint Legal Custody: The Default Standard
In most post-divorce parenting arrangements, medical decision-making falls under legal custody, which includes decisions about healthcare, schooling, and other major aspects of a child’s upbringing. Typically, parents share joint legal custody, meaning that both parents have equal rights and responsibilities in deciding medical issues for their children.
The only time one parent makes all medical decisions is if the other parent has relinquished their legal custody rights. It is unusual for a parent to relinquish their rights unless specifically outlined in the divorce agreement.
Emergencies vs. Non-Urgent Decisions
Not every medical decision requires a joint discussion. The law recognizes that emergencies can’t wait. It is important for both parents to understand when it is an emergency medical decision that can’t wait.
· Emergency Situations
If a child is injured or needs urgent medical attention, the parent who has the child at the time is expected to act immediately. The other parent should be notified within a reasonable amount of time, but prior approval is not required.
· Non-Urgent Medical Care
Medical decisions like surgery, long-term therapy, or planned treatments require input and agreement of both parents. Since these medical decisions will significantly affect the child’s wellbeing, courts expect that parents will communicate and collaborate in the best interests of their child.
What Happens if Parents Don’t Agree
Disagreements about medical decisions do happen, especially around sensitive or controversial topics like vaccinations.
Step 1. Try to Resolve It Together
In California, parents are expected to discuss medical issues, treatment options and try to reach a mutual decision.
Step 2: Mediation
If talking it out does not work, Mediation is the next recommended step. A neutral third party can help parents work toward a compromise.
Step 3: Court Intervention
If Mediation fails, the issue can go to court. While judges seek to act in the child’s bestinterests, they are still human. Their personal perspectives on some issues like vaccinations can influence the final decision, making it a “sticky situation” when parents hand over control of such important matters.
The Bottom Line
Joint decision-making is the norm for decisions involving a child, but cooperation is key. When communication breaks down, mediation, and sometimes a judge, may be needed to resolve major medical disputes.
FAQs
1. What is “legal custody” in a divorce?
Legal custody refers to a parent’s authority to make major decisions regarding a child’s life, including medical care, education, and religious upbringing. In California, the law generally favors joint legal custody.
2. Do both parents need to agree on every doctor visit?
No. Routine checkups typically do not require joint approval, but major or non-urgent medical decisions do.
3. What counts as an emergency?
Any urgent situation in which delaying care could harm the child, including injuries, sudden illness, or other immediate medical needs.
4. What if one parent refuses recommended treatment?
Parents should attempt to resolve the issue together or through mediation. If they still can’t agree, a judge may need to decide.
5. Can a judge’s personal views affect the decision?
Judges aim to act in the child’s best interest, but like anyone else, their opinions can influence how they view a dispute.
Compassion for my clients is important to me, and that’s why I’ve remained a family law practitioner for 30 years — and still love what I do. I’m keenly aware of the emotional toll divorce can have on you and your family. As you navigate the rough waters of transition, my team and I will help you find your balance. We’re here to support you in making the best decisions for your future. I’ve seen the positive results again and again when couples embrace meditation or collaborative divorce. I’d be honored to share these practices with you and set your family on a healthy path.








