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Informed Consent
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Introduction:
Thank you for scheduling an appointment with Wild Hope, a division of Embrace Equine Ministry. This document provides important information about the services you will receive at Wild Hope, including our approach to sessions, our practices, fees, and other information relating to confidentiality. Please take a few moments to read through these and indicate your acceptance by signing below and hitting submit. If you have any questions, please get in touch with us!
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Appointments:
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Missed/Late/Canceled Appointments:
Providing at least 24 hours notice to cancel an appointment helps us to keep costs down, maximizes our availability to clients and minimizes lost session time. Future appointments may not be scheduled if 24 hours notice is not adhered to.
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If you are late for your appointment your session may be less than 50 minutes in duration.
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If you provide us with a mobile number or email address a reminder message will be sent the day before your appointment. This is a courtesy reminder only. If for any reason you did not receive a reminder message and missed your appointment you will still be responsible for missing the appointment. If ever in doubt please feel free to telephone to confirm an appointment.
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Frequency of Appointments:
The number and frequency of appointments will be discussed with you by your session leader. This will be based on their opinion once they have had an opportunity to understand your needs and goals. In many circumstances it can be difficult to predict a person's response to sessions and therefore the number of sessions they may require. Your session leader will discuss this with you prior to the session.
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Confidentiality, Privacy and Record Management:
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Confidentiality and Privacy:
Your treatment with Wild Hope is confidential and private. This means we will not disclose the information you provide us to third parties unless you consent for us to do so. It is important to note that there are limits to confidentiality in exceptional circumstances including when there is a risk to you or others, or if we are responding to a subpoena or warrant. Your practitioner will discuss this with you during your first appointment and answer any questions you might have.
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Nature of Services Provided and Emergencies:
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Nature of Services:
All session leaders have trauma informed training. All equine specialists are trained equine specialists. We use a combination of Holy Spirit led biblical principles and practical application, and contemporary evidence-based treatments.
In all cases, both the session leader and the equine specialist are focused on building and restoring healthy relationships within the client and in their relationships with others.
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Limitation to Services:
Embrace's division of Wild Hope provides trauma-specific equine assisted learning. Sessions are provided via pre-arranged, scheduled appointments. Session leaders have limited availability for contact outside of scheduled appointments. Session leaders may not have an opportunity to respond between sessions so this should not be relied upon for emergency matters. For emergency matters please contact the appropriate agencies using the details below.
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Wild Hope session leaders will only provide services that are within their level of training as a private provider of equine assisted learning. If treatment needs are identified that are outside of this scope your session leader will endeavor to assist you to identify alternative suitable providers.
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Emergency Contacts:
Embrace and Wild Hope are not emergency services. We are not able to respond to urgent or emergency matters and our communication channels (Phone, SMS, Fax, Email) are not monitored outside of standard business hours.
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For urgent concerns relating to mental health or other emergencies, please contact the appropriate emergency services:
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Police, Fire, Ambulance, (Emergency): 911
Mental Health Services (Intake): Kootenai Behavioral Health 208-625-4800
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Consent:
Please sign below to indicate you have read, understood, and accept the information contained in this agreement. You may withdraw this consent at any time in the future however please note that some components are irrevocable: for example, we are legally required to keep a copy of your health record even if you withdraw your consent and cease treatment.
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By entering your name and today's date below, you are submitting your digital signature.
