I understand and agree to the following terms and conditions regarding the confidentiality of information shared within the support group sessions:
Purpose of Support Group:
- I understand that this group is meant to provide support and education and is not meant to provide medical advice or to be a substitute for other therapeutic care.
- I understand that I should consult with my own medical team before implementing any advice or information learned in the group.
Support Group Conduct:
- I agree to be respectful of my fellow group members and group facilitator.
- I agree not to take photos or screenshots of the group.
- I will not proffer any unauthorized solicitations or promotion of business products or services.
- I agree to conduct myself in accordance with LADN's anti-discrimination policy: LADN is committed to inclusivity and diversity. LADN prohibits discrimination on the basis of race, color, religion, sex, gender identity or expression, age, disability, sexual orientation, national origin, comorbid illnesses, political affiliation, immigration status or intersectionalities of identity.
Confidentiality Commitment:
- I will not disclose any personally identifiable information about fellow group members outside of the group setting.
- I agree to maintain the confidentiality of all information shared by other group members during the sessions.
Limits to Confidentiality:
- I acknowledge that there are legal and ethical limits to confidentiality. Group facilitators may be obligated to break confidentiality under certain circumstances, including:
- Threats of harm to oneself or others.
- Suspected child or elder abuse.
- Court orders requiring the disclosure of information.
- I understand that while facilitators will make every effort to maintain confidentiality, absolute confidentiality cannot be guaranteed due to the interactive nature of support groups.
Document Storage:
- I understand that attendence records and brief notes will be kept by the group facilitator and may be accessed by LADN staff.
- I understand that any written records or notes related to the support group will be securely stored by the group facilitator and LADN staff and will not be shared without my explicit consent, except as required by law.
I have read and understood the terms of this agreement, and I voluntarily agree to abide by these terms.