SOLICITE SEU AGENDAMENTo aqui

O seu agendamento deve ser feito com pelo menos 48 horas de antecedência. Depois do seu agendamento via website você receberá, em até 24 horas, um e-mail confirmando a sua sessão. As solicitações feitas com menos de 48 horas das quintas feiras terão seu atendimento agendado para a quinta feira da semana seguinte.

If you are experiencing an emergency please call 911 and see below a list of help lines that are available in San Diego county. Or access:
https://www.opencounseling.com/crisis-lines/california/san-diego

RELEASE OF LIABILITY AND CONFIDENTIALITY AGREEMENT FOR FRATERNAL SUPPORT
Participant: I enter into this Agreement with Allan Kardec Fellowship Society, its workers, volunteers, directors, (hereinafter “AKFS”), for fraternal support to be performed by AKFS.
Participant acknowledges that he/she has voluntarily agreed to participate in, and requests fraternal support, from AKFS.

Participant acknowledges that it is his/her responsibility to ascertain his/her own needs for professional counseling or therapy and to seek such other professional services, as needed. 

Participant is aware that participation in fraternal support is not to be construed as a substitute for psychiatric treatment, psychotherapy, therapeutic counseling, or any other form of professional counseling or therapy.

In consideration of his/her voluntary participation in fraternal support, Participant, on behalf of himself/herself and Participant’s family, assigns, heirs, executors, guardians and other legal representatives release, discharge, waive and forever relinquish all claims, and/or suits, for damages of any kind and nature against AKFS. This release and waiver extend to all claims, known or unknown, arising from, or in any way connected with, his/her participation or involvement in fraternal support including but not limited to, the use of any information provided by him/her or statements made by him/her during such fraternal support.

Participant agrees that under no circumstances will he/she or their assigns, heirs, executors, guardians and/or other legal representatives, prosecute or present any claims against AKFS or sue or seek to attach the property of AKFS and that Participant waives all actions, claims, or demands that Participant may now have, or hereafter may have, for any injuries suffered by Participant during his/her participation or involvement in fraternal support resulting from any acts or omissions by AKFS or resulting from the acts or omissions of any other participant in fraternal support. Said release does not extend to willful acts of AKFS intended to cause injury or caused by the gross negligence of AKFS.

Participant, for himself/herself, and his/her assigns, family, heirs, executors, guardians and other legal representatives, hereby agrees that in the event of any claim for damages are prosecuted against AKFS, as a result of its acts or omissions, that Participant, or his/her estate, shall defend, indemnify and save harmless AKFS.

PARTICIPANT UNDERSTANDS AND AGREES THAT THIS RELEASE AND WAIVER OF LIABILITY CONSTITUTES A COMPLETE WAIVER OF HIS/HER RIGHT TO SUE AND/OR COLLECT DAMAGES FROM AKFS.

Participant further acknowledges and understands that any informal information provided during fraternal support or any other statement made during fraternal support session(s) shall be considered confidential and shall not be disclosed except as required by law.

If any portion of this release of liability agreement is declared invalid or unenforceable by a final judgment of a court of competent jurisdiction, Participant hereby agrees that such determination shall not affect the balance of this release document. It shall remain in full force and effect except for those portions held severable and contrary to law.

Participant represents and warrants that he/she is at least eighteen (18) years of age and that he/she had carefully read this Agreement and fully understands its contents, terms and significance and understand the legal consequences of signing this Agreement. If fraternal support is provided to a Participant less than 18 years-of-age, the signature of his/her parent or legal guardian will bind the parties to this release agreement.

The Participant or parent/guardian recognizes that coaching and fraternal support requires emotional, physical, and mental efforts, exertion, and behavioral experimentation, on the participant which may cause physical, mental, or emotional damage. The Participant, or Parent legal guardian, fully acknowledges and takes full responsibility for all the risks involved. The client or parent/ legal guardian understands that it is his/her responsibility to consult with his/her primary health care provider prior to participating in fraternal support.

The Participant and/or parent/legal guardian attests to the fact that the Participant and or parent/legal guardian has disclosed all relevant information regarding his/her emotional or mental conditions to AKFS and that failure to disclose could cause harm to participant by participating in these programs.

Participant understands that information will be held confidential unless Participant states otherwise in writing. If Participant reports child or elder abuse or threatens to harm oneself or someone else, necessary actions will be taken by AKFS. Under some circumstances such reports may affect Participant’s confidentiality agreement. Furthermore, if AKFS is ordered by a court to provide information or to testify, it will do so to the extent the law requires. Additionally, the Participant understands that the use of technology is not always secure and accepts the risks of confidentiality in the use of email, text, phone, zoom and other technology.

Participant is aware that this Agreement contains a release of liability by Participant and is a contract between AKFS and Participant and Participant signs this Agreement of his/her free will.
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