Voluntary Counseling Program – Terms & Conditions

1. Program Overview

This counseling program is offered by [Your Nonprofit Name] as a voluntary, supportive service for individuals seeking emotional, mental, and spiritual support. Services may include peer support, faith-based guidance, and/or sessions with licensed or volunteer professionals.

Participation in this program is completely voluntary and may be discontinued at any time.

2. Not a Substitute for Medical Care

This program does not replace medical, psychiatric, or emergency care.

By participating, you acknowledge:

This program is not intended to diagnose, treat, or cure any mental health condition

You are encouraged to seek care from a licensed medical or mental health provider when needed

If you are experiencing a crisis, you should call 911 or contact the 988 Suicide & Crisis Lifeline

3. Voluntary Participation

By enrolling in this program, you confirm:

You are participating by choice

You may withdraw at any time without penalty

You understand results are not guaranteed

4. Confidentiality

We respect your privacy and are committed to maintaining confidentiality.

However, confidentiality may be legally limited in the following situations:

If there is risk of harm to yourself or others

Suspected abuse or neglect (child, elder, or dependent adult)

Court orders or legal requirements

Your information may also be used in a de-identified manner for:

Program improvement

Grant reporting and funding purposes

5. Volunteer & Faith-Based Support Disclaimer

Some services may be provided by:

Volunteers

Coaches

Faith-based mentors

These individuals may not be licensed therapists.

Faith-based guidance may include:

Biblical principles

Prayer (optional)

Spiritual encouragement

Participation in faith-based elements is completely optional.

6. No Therapist-Client Relationship

Participation in this program does not automatically establish a formal therapist-client relationship, unless explicitly stated in writing by a licensed provider.

7. Liability Waiver

By participating, you agree:

[Your Nonprofit Name], its staff, volunteers, and partners are not liable for any outcomes resulting from participation

You assume full responsibility for your personal decisions, actions, and well-being

8. Eligibility

Participants must:

Be 18 years or older

Provide accurate and truthful information

Agree to these Terms & Conditions

9. Code of Conduct

To maintain a safe and supportive environment:

Participants must treat all staff and volunteers with respect

Harassment, abuse, or inappropriate behavior will result in removal from the program

10. Scheduling & Attendance

Sessions must be scheduled in advance

Missed sessions without notice may limit future participation

The organization reserves the right to reschedule or cancel sessions

11. Consent

By signing below (or checking agreement), you acknowledge that you:

Have read and understood these Terms & Conditions

Agree to participate voluntarily

Consent to the guidelines outlined above

CHECK “I CONSENT” ON REGISTRAION FORM