🧠 Au+DHD Mental Fitness Lounge Sign Up Form

🧠 Au+DHD Mental Fitness Lounge Sign Up Form
*

Example:

--Active Therapy

--Monthly Coaching

--Other Subscription Service

📌 Purpose of the Group

The Au+DHD Mental Fitness Lounge is an asynchronous psychoeducational and community-based space designed to:

  • Provide education about ADHD, Autism, and AuDHD
  • Support mental fitness skill-building
  • Offer structured weekly learning topics
  • Foster low-pressure community connection

This group is not therapy and does not replace individual therapy.


⚖️ Important Disclaimers & Agreements

Please read carefully before signing.

1️⃣ Not Therapy

I understand that:

  • Participation in this group does not constitute therapy.
  • My participation does not create a separate therapeutic relationship.
  • This space is educational and community-based in nature.
  • The group does not replace individual therapy or crisis services.

2️⃣ Confidentiality

I understand that:

  • While the facilitator encourages confidentiality, confidentiality cannot be guaranteed in a group setting.
  • Other members are not bound by HIPAA in the same way as licensed professionals.
  • I agree not to share other members' posts, names, or identifying information outside the group.

3️⃣ Boundaries & Safety

I understand that:

  • This space is not appropriate for crisis support.
  • If I am experiencing a mental health emergency, I should contact 911 or 988 (Suicide & Crisis Lifeline).
  • The facilitator reserves the right to remove content or members that violate group guidelines.

4️⃣ Communication Expectations

I understand that:

  • The group is asynchronous.
  • There are no guaranteed response times.
  • Direct clinical advice will not be provided inside the group.
  • My participation is voluntary.

5️⃣ Privacy & Platform Use

I understand that:

  • The group is hosted on a third-party platform.
  • I may choose not to use my real name or image.
  • I am responsible for maintaining my own digital privacy settings.

6️⃣ Inactive Accounts

I understand that:

  • If I become inactive for more than 3 months, my access may be removed.
  • If I am on a paid membership, my subscription may be canceled.
  • I may be contacted via email regarding inactivity or account changes.

CONSENT

By checking the box, I acknowledge that:

  • I have read and understood the above information.
  • I understand this is not therapy.
  • I voluntarily choose to participate in the Au+DHD Mental Fitness Lounge.