Collaborative Conversation

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For School Based Support Services

Email *

Collaborative Conversation

DESCRIPTION
A Collaborative Conversation (CC) is a session designed for collaboration, consultation, stress relief, and support. It is not intended as a mental health counseling appointment. Instead, it offers a space for individuals to engage in meaningful dialogue with a Seed Digging Professional to explore ideas, find solutions, and receive guidance in a non-therapeutic context.

CONFIDENTIALITY
Your privacy is important. Any personal information shared during a Collaborative Conversation (CC) will be kept confidential, except in the following circumstances:

Risk of Harm or Danger: If there is an immediate threat to your safety or the safety of others, appropriate action may be taken to ensure protection.
Abuse or Neglect: If abuse (physical, emotional, sexual, or other) is disclosed or suspected, it will be reported as required by law.
Legal Requirements: All state and federal laws regarding mandatory reporting will be followed, including instances where harm is suspected, and action must be taken.

DISCLAIMER

This appointment is not a substitute for mental health counseling. It is intended for personal growth, stress relief, and collaborative problem-solving with a Seed Digging Professional. If you require mental health counseling, it is encouraged to seek professional care.

Ozark Opportunities, Inc School *

First Name *

Middle Initial *

Last Name *

Gender *

Male

Female

Other:

Date of Birth *

YYYY

Phone Number (Please Include Area Code) *

Email *

Consent

By confirming below, I acknowledge and agree to the following:

I am voluntarily participating in a Collaborative Conversation (CC) with a Seed Digging Professional, which is designed for consultation, support, and stress relief, and is not a mental health therapy session.
I understand that my personal information will be kept confidential, except in cases where there is a risk of harm, abuse, or where required by law to report certain information.
I am aware that if I require mental health counseling, I should seek the appropriate professional services.

I confirm that I have read and understand the above information and agree to participate in a Collaborative Conversation (CC).

YYYY

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