Sign Below to Consent to Personal Risk Disclaimer, Confidentiality, and Payment Policy:
Personal Risk Disclaimer:
All participants are responsible for and should be aware of their own physical, mental, and emotional safety. At times when we take the time to care for ourselves and create, sometimes we can become overwhelmed with emotions or thoughts that arise, which is very normal. These experiences can be invitations to acknowledge and processes hidden things that are calling out for attention. It is encouraged that you please be mindful of your needs during and after each session and take care of yourself. Please understand that this program does not involve treating mental health disorders as defined by the American Psychiatric Association.
Confidentiality and Payment Policy:
All payments are due by the day of each group meeting. You can make a payment through Venmo @Elliesha-Hahn or through the Square App. If you chose to make a payment through Venmo make sure to set the payment to private and have minimal description to uphold confidentiality. By enrolling in this group and attending, you have read the personal risk disclaimer and understand the potential risks and that you as the participant will be responsible for your own safety and well-being.
If you or someone in your family is seen for Clinical Art Therapy through The Bloom Studio and Counseling Services LLC, know that you may be disclosing that Elliesha Hahn is your Therapist. Elliesha will not disclose this information to the group but know that it may be inferred by others in the group.
