Animal Assisted Therapy Programs of Colorado Virtual Animal Care Worker Support Group Confidentiality Statement

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Animal Assisted Therapy Program of Colorado (AATPC)’s Virtual Animal Care Worker Support Group provides support and is not treatment. Confidentiality is very important to creating a safe and supportive environment at AATPC. We ask that our group members, staff, and volunteers respect and maintain everyone’s right to confidentiality. If you are participating in a group at AATPC, please agree to adhere to the following rules:

Email *

My name is: *

1. I agree to respect and maintain the confidentiality of all AATPC participants 2. I agree not to identify other AATPC participants to individuals outside of the group without their consent 3. I agree that what is discussed or explored in the AATPC group must remain in the group. 4. I agree to direct anyone I share the support group's link with to sign this confidentiality agreement before their first meeting attended. 5. I understand and agree that recording of any kind, including video and audio recording are strictly prohibited. *

I agree

I do not agree and will therefore not attend any meeting with AATPC until which time I answer this form differently

Please be aware that we enlist the help of mental health professionals who are legally required to release information in the following situations: 1) If there is reason to believe that a child, elderly person, or person with a disability is being abused or that abuse has occurred. 2) When danger to self or others (such as a threat or serious bodily harm) requires disclosure. 3) In the event of a medical emergency. 4) Upon receipt of a court order. 5) Or as otherwise required by state law. By entering today's date below, I acknowledge that AATPC’s Virtual Animal Care Worker Support Group exists solely to provide support, and not to fulfill the role of treatment and/or treatment professionals. I agree to respect and maintain the confidentiality of all AATPC members and to not identify other members without their consent. I understand that mental health professionals may need to contact others on a need to know basis without my consent in the event that an exception to confidentiality occurs. I confirm that I am joining these support groups to obtain support for myself, and not as a student observer, a family member, or for any other purpose. *

YYYY

I agree by using the link on the following page that I have signed this confidentiality agreement and will abide by the conditions set forth in this statement *

I agree

I will not join the Zoom group as I do not agree to the conditions set forth in this agreement

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