Kick It In the Gut– Group Privacy & Confidentiality Agreement

Welcome to the Kick It In the Gut group program. In this program, we may discuss personal health information, symptoms, medical test results, and other sensitive experiences related to gut health and healing. To create a safe, respectful, and legally aware space, all members are expected to honor the following confidentiality agreement.

1. Confidentiality Commitment: I understand that while this program is not a HIPAA-covered medical setting, we aim to uphold the spirit of HIPAA privacy protections. I agree to keep any personal or health-related information shared by other participants strictly confidential.

2. Respectful Sharing: I understand that participation in this group may involve sharing my own health information. I do so voluntarily and understand that I am not required to share anything I am not comfortable discussing.

3. No Recording or Screenshots: I agree not to record, screenshot, or photograph any part of the Zoom sessions, online discussions, or any other group interactions unless explicitly permitted by all members involved.

4. No Re-sharing Outside the Group: I will not discuss, share, or reference the personal information, stories, or health status of any other participant outside of this group, whether online or offline.

5. Personal Responsibility: I acknowledge that the facilitator is a certified holistic health practitioner, not a licensed medical doctor. All information shared is educational and not intended to diagnose, treat, or replace medical advice. I am responsible for my own health decisions and will consult a qualified healthcare provider for medical needs.

6. Breach of Agreement: I understand that breaching this agreement may result in my removal from the program without refund. By continuing to participate in this group, I acknowledge that I have read, understood, and agree to abide by this Privacy & Confidentiality Agreement.

By filling out the form on this page, you agree to the terms above.