Informed Consent Form for Support Groups
NYC PSYCHOLOGY INC., PC
Manhattan | Brooklyn | Rockland County | Great Neck
646-837-5557 | [email protected]

Meetings of our support groups are meant to provide individuals with information and personal support from peers. Our staff facilitators will, at times, provide general information about psychological and emotional issues, but will not engage in rendering psychological or healthcare advice for any individual or for particular situations. Our support groups do not provide medical, mental health or any other type of healthcare service. No diagnosis or treatment of, or advice regarding, any medical or mental health condition or illness of any group member will be offered during the support group. Support groups cannot and should not substitute for, or be used as an alternative to, medical or other healthcare diagnosis and treatment when a medical or mental health condition or illness is present. Support group members are advised to seek diagnosis, treatment and advice regarding medical or mental health conditions or illnesses from physicians, psychologists and other licensed healthcare professionals. Please sign and date below indicating your understanding of and agreement to the limitations of the support group.