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Child support is based on a percentage of parental income, accounting for the difference in each parent's salary or other sources of money. In the most technical sense, that amount is the payer's legal obligation to support the child. For those who have more resources, it is not unusual to enter into additional agreements over paying for additional needs or wants -- be it music lessons, summer camp, private school or college. But there is no obligation beyond that child support.
The way to deal with unique situations,if negotiations (or simply, parental love) don't work to shake additional money free, is to go back to court and ask for modification of child support in light of changed circumstances.
The other parent can respond with reasons no more money should be forced into the child support pot, or can agree to pay for certain things directly (as happens when parents don't trust each other and think the other parent is not using the money to pay for the child's needs).
Based on good evidence, courts have power to make changes -- if it is in the best interests of the child (which is the legal standard).
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That is a contractual matter between the doctor (all ask for a "guarantor" on the intake form), of by order of the court (which orders restitution.) These things are often based on custody at the time -- which parent was legally obliged to do something. In heavily contentious divorces, parents sadly continue to fight over money for the kids as a proxy for hurt feelings or psychiatric pathologies; that is why courts often need to be involved -- and if parental love and decency don't sway the other party, a good reason to go to court to seek additional money beyond what is stated in child support. In fact, when people resolve matters through things like mediation or collaboration, they often have detailed agreements on things like medical bills, extra-curricular activities and college costs, in advance.
If that's not done, disputes can often arise. And if they can't be solved by discussion and agreement, then courts need to be involved.
I'm sorry I can't provide the answer you hoped for -- but I can only give out accurate legal information, even if the customer might be disappointed. I hope you'll understand that when you rate the transaction. Many thanks.
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