REQUIREMENTS FOR PARTICIPATING
If you have any physical problems that may make it difficult for you to participate in the Spectrum Life Design Education courses, it is recommended that you discuss this with your physician to determine the appropriateness of your participation.
You MUST consult with a professional counselor, therapist, or physician and obtain a signed statement that there are no therapeutic contradictions to your participating in the Spectrum Life Design Education courses if any of the following conditions apply:
1. You have been hospitalized for a psychiatric or psychological disorder within the last five years.
2. You are currently in therapy for psychological difficulties or problems or have stopped this therapy within the last six months.
3. You have been prescribed within the last six months or are currently taking lithium, a major tranquilizer or antidepressant medication.
If any of these conditions apply to you, you must request an email of a PDF copy of this form, and bring it to your therapist or prescribing physician, have him/her read the entire form, including the "Notice to Professional Counselor" section, discuss the advisability of your participation, and if he/she agrees there are no therapeutic contradictions, have him/her sign the form.
In order to complete your registration in the Spectrum Life Design Education courses, please complete the following and return this form prior to the course.
BY TYPING YOUR NAME IN THE BOX BELOW, you hereby acknowledge and attest that you have thoroughly and carefully read the information contained herein, that you understand it and agree to it, that you have answered all questions truthfully, and that you have fulfilled the requirements for participating.