GOD'S WORD DISCLAMIER
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By registering for services with God’s Word, you are declaring that you understand, agree with and will abide by the services provided. You will not hold God’s Word liable for any decision or action made by you or by those in your care.
You attest that you are at least 18 years of age.
You attest that if you are suicidal or having suicidal thoughts, you have read the information on our site “Contemplating Suicide”.
You attest that you are not suicidal nor do you present a danger to others.
You attest that you are the authorized user of the credit / debt card you are using or you have the owner’s permission to use the card.
You understand that the “Holy Bible” is used as an authoritative source for services.
You understand that sharing any information online is not 100% secure. God’s Word will do its best to keep your information secure, with respect of state laws.
Confidentiality
Regarding Counseling: We keep records of assessments and clinical notes. All
information kept is privileged and confidential. Information will only be
released to other professionals, individuals or organizations with your written
permission. Prior to releasing any information a consent form must be signed
by you, authorizing God’s Word to release information.
When counseling, the following are exceptions to confidentiality and must be reported:
· Evidence of child abuse, abuse of the elderly, the disabled,
or the physically and mentally incompetent
· Endangerment to yourself or others
· If you or your heirs, executors, or administrators file suit or a complaint
against God’s Word or any of its employees
· If ordered by a court to release information
· If a claim is filed for your insurance carrier
You have the right to have access to your records.
You are entitled to receive information about the methods of therapy, the techniques used, the duration of therapy, and the fee structure.
If using insurance, you are responsible for payments that your insurance carrier does not cover.
You understand that if you have a mental illness, mood or personality disorder, God’s Word online services should not be your only means of treatment. Such disorders and or illnesses require further treatment other than online counseling.
If you have a mental illness, mood or personality disorder you must disclose this information to God’s Word.
You understand that if you are under the care of a mental health professional you must provide God’s Word with this information.
You attest that the services you receive through God’s Word are appropriate for you and do not conflict with any other medical or mental health treatment you may be receiving.
Cancellation Policy: Once a course, seminar or counseling session has begun, no cancellations are allowed and a refund will not be given. To cancel a course or seminar, you must give God's Word a 5 day advance notice.
You will be asked to create a Username and a Password. This is to be used for online counseling sessions, courses, or seminars. God’s Word will not keep a record of your password.
Once you have registered, for the service you desire, submit payment and we will contact you to begin services.
** Please print and keep a copy of this form for your records. If you have further questions do not hesitate to e-mail us at:
Phone: (254) 634-WORD
(254) 634-9673
Or write us at:
God’s Word
P.O. Box 426
Copperas Cove, TX 76522
