Confidentiality Agreement & Release from Liability
By participating in any of our programs and services, you acknowledge and accept the following statements in our Confidentiality Agreement & Release from Liability.
1. The Made Whole leadership will hold as confidential all disclosures made by
clients and group participants with the following exceptions:
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Disclosures indicating intentions to take harmful, dangerous, or criminal
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action against another human being.
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Disclosures indicating intentions to take harmful, dangerous, or criminal
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action against oneself.
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Suspected acts of child abuse or neglect will always be reported.
Those informed may include one or more of the following:
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Law enforcement officials and/or child protective services;
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Any person likely to suffer the results of the harmful behavior indicated;
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Family members of the person likely to suffer results of harmful behavior;
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Family members of the person intending to harm self or other(s);
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Associates and/or friends of those threatened or making threats.
2. I acknowledge that I have voluntarily come to Made Whole, a Christian
discipleship ministry offering help and support to men and women seeking to grow
in Christian purity, holiness, and maturity according to traditional biblical teachings
about sex, sexuality, family and relationships.
3. I acknowledge that my participation with Made Whole is not a substitute for
active involvement in a local Christian church of my choice.
4. I also acknowledge that my participation with Made Whole is not a substitute for
psychiatric treatment, psychotherapy, therapeutic counseling or any other form of
professional therapy. I understand that Made Whole does not offer professional
therapy. Made Whole staff and volunteer team members are not licensed
professional therapists. I acknowledge that if any team member possesses a
professional license as a therapist, they do not serve in that capacity with
Made Whole.
5. I accept complete responsibility for my own psychological, mental, emotional,
and spiritual wellbeing. And I further acknowledge that it is my responsibility to ascertain my own need for professional counseling and to seek such professional counseling as
Needed.
6. I understand Made Whole promotes an orthodox, biblical perspective on sex,
gender, and marriage, and while the ministry respects individuals’ freedom to
choose for themselves what they believe and how they will live, sometimes
individuals’ perspectives can conflict or confuse the goals of Made Whole’s groups.
Therefore, Made Whole reserves the right to decide on a case by case basis
whether an individual can participate with Made Whole.
7. I understand that because my participation is completely voluntary, I have the
right to discontinue my involvement with Made Whole at any time with or without
prior notice.
8. On behalf of myself and my assigns, I waive all actions, claims or demands
against Made Whole (including all agents, employees, officers, or directors of
Made Whole) from any liability for any injuries suffered by me during my voluntary
participation in any Made Whole service, including those resulting from negligent
acts or omissions, or resulting from negligent acts or omissions of any other
participant of Made Whole’s programs or groups. On behalf of myself and my
assigns, I hereby agree that I will not make any claim against, sue, or otherwise seek
damages against Made Whole, including those listed above.