Group Therapy Consent template

1. Nature of Group Therapy

• Group therapy involves shared sessions with other participants, facilitated by a qualified practitioner. Members are encouraged to share experiences and support one another under the facilitator's guidance.

2. Group Confidentiality

• I agree not to disclose the identity or personal information of any other group member outside of sessions. I understand that, unlike individual therapy, the facilitator cannot guarantee confidentiality kept by other members.

3. Group Guidelines

• I agree to attend sessions on time, treat other members and the facilitator with respect, and refrain from contact with other members outside of the group unless agreed by the facilitator.

4. Risks and Benefits

• Sharing in a group setting can bring up difficult feelings and may not suit everyone. Many participants find peer support valuable; outcomes vary and are not guaranteed.

5. Data Protection

• Personal data is processed under the UK GDPR and Data Protection Act 2018 and shared with other members only in the context of the group setting.

Client Information

• Full NameText
• Date of BirthDate
• PhoneText
• EmailText

Facilitator Information

• Facilitator NameText
• Group Name / ProgrammeText

Emergency Contact

• Contact NameText
• Relationship / PhoneText

Acknowledgment and Signature

• Client SignatureSignature
• Date signed (client)Date
• Facilitator SignatureSignature
• Date signed (facilitator)Date

• By signing below, I agree to the group guidelines and confidentiality terms above, and consent to participate in group therapy.