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Group Therapy Disclosure Agreement: 

1. Purpose of the Group

This group session is intended to provide a supportive and respectful space for shared conversation, connection, and general wellness-based discussion. The group is not a substitute for individual therapy, counseling, diagnosis, or medical or mental health treatment.

2. Dignity, Privacy, Respect, and Safety

The foundation of this group is mutual respect and care. By participating, I understand and agree that:

  • Every participant deserves to be treated with dignity, respect, and compassion.

  • Emotional and personal safety is a top priority of the group.

  • Participants are encouraged to share only what feels comfortable and appropriate for them.

  • The facilitator will make reasonable efforts to support a safe and respectful environment.

3. Privacy and Confidentiality

I understand that:

  • Privacy and confidentiality are deeply valued in this group.

  • Participants are asked to respect the personal stories and experiences shared by others.

  • Because this is a group setting, complete confidentiality cannot be guaranteed, and the facilitator cannot control what participants share outside the group.

  • I agree to honor the privacy of others by not sharing identifying or personal information discussed in the group.

4. Role of the Facilitator

I understand and agree that:

  • The facilitator’s role is to guide discussion and support group process, not to provide therapy or clinical mental health services.

  • Participation in this group does not create a therapist–client or healthcare provider relationship.

  • Information shared during the session is general in nature and not individualized treatment or professional advice.

5. Personal Responsibility & Well-Being

By choosing to participate, I acknowledge that:

  • I am responsible for my own emotional, mental, and physical well-being during and after the session.

  • The facilitator does not assume responsibility or liability for my decisions, actions, or outcomes related to participation.

  • If I experience significant distress or need additional support, I understand it is important to seek help from a licensed mental health professional or appropriate emergency services.

6. Voluntary Participation

  • Participation is voluntary, and I may choose my level of sharing.

  • I may step away or leave the session at any time to care for myself.

7. Acknowledgment

By signing below, I confirm that:

  • I have read and understood this agreement.

  • I agree to participate with respect for myself and others.

  • I understand that the facilitator is not acting as my therapist and does not assume responsibility for my personal outcomes.

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Alchemy Counseling and Wellness

Let's Get Started: 

Book a 10-15 minute complementary consultation:​

 

OR reach out via

hannah@hannahhurley.com

385-419-0315

Please allow me 2-3 business days to get back to you​. 

Land Aknowlegment

I live and practice on the ancestral lands of the Nooksack, Lummi, Semiahmoo, and other Coast Salish peoples in what is now called Bellingham, WA, and I honor their enduring presence, sovereignty, and deep cultural heritage with respect and gratitude. Acknowledging that my presence here is part of a larger history of colonization, I invite you to learn more about how the Lummi Nation and Nooksack Tribe are working to protect water rights—and how you can support them: 

Salmon Need Water

Nooksack Tribe

Lummi Nation

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