SELF & SOUL

Apply for a Soul care intensive

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    • Spiritual Direction
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      • Hayne Steen
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    PERSONAL INFORMATION


    EMERGENCY CONTACT INFORMATION


    PRELIMINARY QUESTIONS


    AGREEMENT

    This form answers confidential/privacy concerns that participants usually have when they begin a Soul Care Intensive. It will also outline brief guidelines and privacy policies. After reading this document, please feel free to ask any questions that you may have. You will be asked to sign and send a copy back to us. You also may want to retain a copy for your records.

    Confidentiality: All statements made during your Soul Care Intensive will remain confidential. The information you disclose cannot be shared with others, except if there becomes a need for a professional consultation with a colleague in reference to your situation. The exceptions to this rule would be if: 1. you have signed an authorization allowing us to disclose information; 2. you are in present danger of harming yourself or others 3. you are petitioned by the court for your records 4. there is an issue of child, elder, or dependent adult abuse. Release of information to other individuals, agencies or professionals may only be done with your written consent.

    ​Emergencies: Though soul care intensives are not always crisis oriented in nature, there still may be a need for referral. If you feel you will need more intensive hours and support on a regular basis, please inform your soul care provider so an appropriate referral may be made. Each one of our soul care providers are in contact with licensed professional therapists and will provide you with various options as it pertains to your current need and situation.

    ​In the event of an emergency please call 911.
    *Enter your name above to confirm that you hereby agree to participate and attend a Soul Care Intensive and to cooperate fully to the best of your ability.
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  • About
    • About Self & Soul
    • Endorsements
    • Care of Self
    • Care of Soul
    • Contact Us
  • Offerings
    • Spiritual Direction
    • Soul Care Intensive
    • Retreat Offerings
    • Book Club
    • Soul Care Providers >
      • Hayne Steen
      • Resources
      • Russell Courtney
    • Speaking & Retreat Facilitation
  • Reflections