Confidentiality Agreement and Agreement Not To Record
By completing this form you are agreeing to the following terms when you participate in the above-referenced online presentation from the AEDP Institute for which you have registered.
This course is intended solely for the use of licensed mental health care professionals and other professionals (in the case of seminars and Immersion including interns, trainees and students) involved in the field of psychotherapy and similar professions. This course contains training in the theory and practice of AEDP and excerpts from or descriptions of actual clinical therapy sessions with patients, as well as descriptions of patients and their treatment. These patients have graciously and generously consented to this use of their experiences.
In return, as a professional, you have two important duties: Confidentiality and Respect.
CONFIDENTIALITY: By completing this form you are agreeing to keep this content confidential. You may engage with this content only for its intended educational and training purposes, and you agree not to disclose this content to others.
DO NOT RECORD (AUDIO OR VIDEO) ANY PART OF THIS CONTENT.
DO NOT SHARE ANY PART OF THIS CONTENT.
RESPECT: As professionals, we share an ethic of respect for our patients and for each other. Please respect the patients who have allowed their therapists to share this content in this way and respect the decision they have made to reveal themselves to therapists in training who they do not know so that you can learn how to help other patients more effectively. Therefore, 1) unless otherwise specifically stated by the presenter, if you know the patient whose therapy session is being presented, you agree to remove yourself from the training while their work is shown and discussed (in which case the Institute will refund part or all of your registration fee, depending on how central the particular patient is to the training); and 2) even beyond any other legal obligation of confidentiality, you agree to treat this content the same way you would treat the experiences and records of your own patients. For example, DO NOT VIEW THIS CONTENT IN A PUBLIC PLACE, or in a way that would allow others to see or hear/overhear it. Do not share any information about the patients depicted in this content that might lead to someone identifying these patients.
Professionals also respect the work of their colleagues. Therefore, you are agreeing not to infringe the intellectual property contained in and constituted by this content including copies of presentations/handouts distributed during the course. For example, do not copy this content or share or distribute it in any way without written permission from the author.
You are also agreeing to respect the spirit in which your fellow professionals are offering this content. Psychotherapy is not an exact science, and patient responses and outcomes will always vary based on the individual and many other factors. Therefore, you are agreeing that you understand that the practices and techniques discussed in this content do not guarantee any particular patient outcome, and that the AEDP Institute and its advisors, faculty and staff (collectively, “the Institute”) are accepting no responsibility or liability whatsoever for any actions, omissions, injuries or damages by or of you or any third party. In addition, you agree that the Institute is not providing you with professional advice of any kind; does not owe you or your patients any expert, professional, heightened, special or fiduciary duty of any kind; and is not responsible for the statements or misstatements of others, intentional or otherwise.
You understand that you will be held fully responsible for any violations to these conditions as well as consequences resulting from these violations. Consequences for violating these conditions may range from dismissal from the course/workshop/training group or individual and small group consultation/ supervision session, notification to your licensing board or professional organization(s), up to and including legal action. Additionally, you understand that any & all costs associated with these legal and/or other actions will be your responsibility.
IN NO EVENT WILL THE INSTITUTE, OR ANY PERSON OR ENTITY WITHIN THE INSTITUTE, OR DEPICTED IN THIS CONTENT BE LIABLE IN CONTRACT, IN TORT (INCLUDING FOR ITS OWN NEGLIGENCE) OR UNDER ANY OTHER LEGAL THEORY (INCLUDING STRICT LIABILITY) FOR ANY DAMAGES, INCLUDING, WITHOUT LIMITATION, DIRECT, INDIRECT, INCIDENTAL, SPECIAL, PUNITIVE, CONSEQUENTIAL, OR SIMILAR DAMAGES, LOST PROFITS OR REVENUES, LOSS OF USE, OR SIMILAR ECONOMIC LOSS, ARISING OUT OF THE USE OF, CONTENT IN, OR INABILITY TO USE, THE CONTENT YOU ARE ACCESSING.
If you’re having issues completing or submitting this form and need to report a problem, please email us at firstname.lastname@example.org
By completing and submitting this form you agree to all the terms above.