Support Group Registration

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I'm registering for the following group:

Please read and consent to the terms of the Support Group

I hereby consent to engaging in grief related group support via GoToMeeting.

I understand that group support may include the practice of grief support and education using interactive audio, video, or data communications.

I understand the following with respect to Tabitha Support Group:

  • I understand that there are risks and consequences from distance support groups, including, but not limited to, the possibility, that despite reasonable efforts on the part of the group facilitator, that: the transmission of confidential information could be disrupted or distorted by technical failures. These risks are offset by the use of GoToMeeting, a HIPPA-compliant service which is encrypted for video health communications. Further, the contents of my group facilitator’s computer are encrypted.
  • In addition, I understand that virtual support may not yield the same results nor be as effective as face to-face service. 
  • In emergencies, in the event of disruption of service, or for routine or administrative reasons, it may be necessary to communicate by other means, including telephone or secure email. I understand that non-encrypted email is not secure and should not be used to convey HIPPA protected information.
  • It is my responsibility to maintain privacy on the group member end of communication. This includes not recording Support Group Sessions. It also includes not using the chat/typing feature during sessions.
  • I understand that there are potential limits and benefits associated with any form of support group despite good intentions. I understand that the support group facilitator may suggest the further support of a licensed professional and that I could ask for a referral if the support group does not seem adequate for my needs.
  • I acknowledge, however, that if I am facing or if I think I may be facing an emergency situation that could result in harm to me or to another person; I agree to seek care immediately through my own local health care counselor or at the nearest hospital emergency department or by calling 911.
Consent

News Feed

Tabitha offers online and in-person community support groups.

It's time again for the Lincoln's Choice Awards. Before Jan. 31, 2021, please nominate Tabitha for Best Home Health Care, Senior Care, Physical Therapy, Work Environment, Nonprofit, Senior Living Community and more.

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Jennifer Zierott, RN-BC, Director of Resident Services at GracePointe by Tabitha Assisted Living & Memory Care Suites, earned her board certification in Gerontological Nursing from the American Nurses Credentialing Center. Read more.

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