Welcome to Teens Alternative Support Group!
Please read through the information below and feel free to ask questions. Once you are ready to
participate, please sign this informed consent form below so we will have on our records that you
have read the information and that you have been properly informed about the teen recovery
support group program.
CONFIDENTIALITY
We respect everyone’s right to privacy. Please understand that this is not absolute and is limited
to provide for by law. Certain limitations are as follows:
- Threatening one’s self or others in a way that may result in physical harm
- Acts of physical or emotional abuse against any person in the group
CONDUCT
For safety, it is necessary that the following is required to be complied with by its members:
- Discussions made within the group are to remain confidential unless there is a
discussion of potential harm.
- Members should maintain positivity and not induce disrespect among others.
- Maintain conduct that brings respect to fellow members’ thoughts, emotions, or
behavior.
- Please refrain from having a dating relationship with a fellow member. This group is
meant for support and not to encourage dating
CONSENT
I agree to adhere to the norms and expectations for the group as indicated above. I agree, or
parent agrees, to hold harmless, Live Rite Structured Recovery Corp, owner, and their agents, in
any circumstance where the guest or participant has been injured both inside or outside the
premises
I grant Live Rite Structured recovery Corp the permission to use pictures, Digital Images or videos of my child but limited to use on our website, social media,or promotional materials.
