INFORMED CONSENT
SAFE CIRCLE
This consent form serves as a statement of understanding and voluntary consent by you as a participant of Counselling Support or being a part of our outreach via The Safe Circle group / individual sessions offered by the Good Wave Foundation.
Voluntary Participation
I acknowledge that my participation in The Safe Circle is completely voluntary. I understand that I may choose to speak, remain silent, or leave the session at any point, without any impediment.
Nature of the Session
I understand that The Safe Circle is a non-clinical, peer-based group session facilitated by a team member of Good Wave or a on-panel counsellor based on availability. This is not a substitute for individual therapy, crisis intervention, or psychiatric treatment. The facilitator is not responsible for follow-up care unless a separate arrangement is made with a counsellor of choice.
I understand that The Good Wave Foundation is not a mental health crisis service, and the services provided do not include crisis intervention. The Counsellors affiliated with Good Wave Foundation are not authorized to provide crisis intervention services and any Counsellor providing any form of crisis intervention shall be doing so on their own accord and Good Wave Foundation, or any of their employees, volunteers or assigns shall not be responsible for any cause of action or liability arising due to the same.
Confidentiality
I agree to respect the confidentiality of other participants and not share anything said during the session outside the group. While Good Wave Foundation will make all efforts to uphold privacy, I understand that the responsibility to respect boundaries also rests with me.
Responsibility
I am attending this session on my own accord and Good Wave Foundation and its affiliates or employees are not liable for any emotional distress or impact resulting from participation in the group. If I require professional help, I understand that I should seek personal counseling or therapy. I will keep all discussions as confidential and I alone will be fully responsible for my choices and actions.
Consent to Communication
I consent to receive follow-up communication from Good Wave Foundation about future sessions, check-ins, or resources with the understanding that I can opt out of such communication at any time. By signing below, I acknowledge that I have read and understood the above terms, and I am participating in The Safe Circle willingly.