S Groups is committed to maintaining confidentiality regarding your adolescent’s or dependent adult’s participation, with specific legal exceptions. These exceptions include circumstances involving risk of harm to self or others, child abuse, elder abuse, dependent adult abuse, and child pornography.

By signing this form, you acknowledge and consent to ensure that your adolescent or dependent adult participates in all telehealth S Groups Social Solution Group sessions from a private, closed-door space within your home or office using a secure Wi-Fi connection.

All telehealth sessions are conducted via a HIPAA-compliant online platform. However, please note that while every effort is made to ensure confidentiality, complete security beyond reasonable control cannot be guaranteed in any online communication.

Please sign below to indicate your understanding and consent for your adolescent or dependent adult to engage in telehealth services with S Groups.