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  • APPLICANT INFORMATION

    APPLICANT INFORMATION

    Tell Us About You
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  • SAFETY CONTACT

    SAFETY CONTACT

    Who is your Safety Contact? This person is authorized to share/receive your information in the event of a safety concern or medical event.
  • EATING DISORDER BEHAVIOURS & ACCOMMODATIONS

    EATING DISORDER BEHAVIOURS & ACCOMMODATIONS

  • WAIVERS & UNCONDITIONAL PROGRAM RELEASES

    WAIVERS & UNCONDITIONAL PROGRAM RELEASES

    Thank you for reviewing all waivers, consents, and program releases prior to signing.
  • I agree to participate in the virtual programming offered by BridgePoint Center Inc. (Operating as BridgePoint Center for Eating Disorders and hereinafter referred to as "BridgePoint"), of Milden, Saskatchewan.

    I HEREBY REMISE release and forever discharge BridgePoint and the Saskatchewan Health Authority from any liability, actions, suits, damages, claims or judgments that may result from any injury to my property or person for any reason whatsoever, including but not limited to any act or omission of BridgePoint or its agents, whether negligent or otherwise.

    I AM VOLUNTARILY participating in virtual programming offered by BridgePoint. I am signing this document of my own free will. Online and in-person group therapy and educational workshops are a unique environment in which a group of people who are likely experiencing similar difficulties come together to both give and receive help from one another. BridgePoint Center attempts to create an environment where honest, interpersonal exploration will occur that will benefit all members. To create this environment, certain guidelines need to be agreed upon by each participant. As this is a new pilot project, spots are limited.

    CONFIDENTIALITY

    Groups are effective because individuals feel safe to share private information in a confidential atmosphere. Every member of the group must agree to uphold the confidentiality of the therapeutic setting.

    Members agree to keep the names and identities of other group members confidential.

    All group/workshop materials and content are confidential. Please do not share, photocopy, record, screenshot, video tape or audio tape sessions unless agreed upon for therapeutic purposes.

    ATTENDANCE
    Group programs are successful when there is regular attendance on behalf of the participants. If you cannot attend a group meeting, please email us to let us know as soon as possible. Please arrive on time. If you miss and cancel late (less than 24 hours ahead of time) 2 times, we reserve the right to remove you from the group.

    ACTIVE PARTICIPATION
    Members of effective groups actively share thoughts, reactions, and feelings during group meetings as a way of increasing their self-understanding and contributing to the personal growth of other members. To support that goal, facilitators will strive to establish and maintain a climate of respect within the group. Each member will undoubtedly share in different ways and be comfortable with different levels of disclosure. It is requested that as a participant you share what is comfortable and actively listen and attend to other group members. Participation does not necessarily mean talking. It can also mean listening to what other members have to say. No one will ever be forced to share anything that they are not comfortable sharing. WITHDRAWAL Members will let the group know in advance if they are leaving the group. Group participation is voluntarily. If you or the facilitator(s) determine that the group is not serving your needs, you will be referred to other options. ONLINE SESSIONS All of BridgePoint’s online workshops and groups are conducted using Pexip, which is an approved platform by Saskatchewan Health Authority. Pexip is also committed to protecting personal health information consistent with the requirements of the Personal Health Information Protection Act, 2004. To learn more about Pexip’s commitment to privacy, visit: https://https://www.pexip.com/security/security-data-protection otn.ca/about-us/privacy/

     

     

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  • TERMS OF SERVICE

    TERMS OF SERVICE

    Saskatchewan Health Authority Mental Health and Addictions Services In Partnership with BridgePoint Center Inc.
  • BRIDGEPOINT CENTER VIRTUAL PROGAMMING COMMITMENT


    Virtual group programs require a sense of community to operate effectively. It is the intention of BridgePoint Center to create a safe, nurturing, healing environment for program participants and team members. The following boundaries and walls were developed to promote a safe residential experience in community.


    Boundaries

    Boundaries are guidelines for behavior, and imply a degree of flexibility.

    1.I will participate in the full program schedule.


    2.I understand that I am required to have my video and microphone function available and turned on throughout the group (except while I have my microphone on “Mute”).


    3.I will ensure I have a private environment to ensure confidentiality and will use headphones during sessions.


    4.I will sign in to the call at least 5 minutes in advance of the session.


    5.I will be punctual and understand that late entry may not be permitted once the virtual room is locked.


    6.I will practice courteous and responsible behavior. I will demonstrate adequate impulse control by not interrupting aparticipant’s process or giving advice.


    7.I will not use my cell phone during any group activities (unless for the use of accessing this program).

     

    Walls

    Walls provide a firm structure to ensure the safety of individuals participating in BridgePoint programming.

    1.Confidentiality at BridgePoint is essential. I will not discuss the experiences of other participants. I will not name ordescribe other participants. I will not take pictures of group participants or chats. (“Participants” is all encompassing andincludes team).


    2.BridgePoint is a place where people of all sizes, shapes, genders, abilities, and backgrounds can gather to celebrate allbodies, support one another as we work toward body acceptance, and build a more inclusive community that values allpeople. I will preserve this inclusive community by not commenting on anyone’s body image.


    3.BridgePoint has a zero tolerance policy for behavior that jeopardizes personal safety. Violent behavior is not tolerated.Violence is defined as verbal, physical, sexual or emotional aggressive behavior. Violence can be, but is not limited toraised voices or tone, sarcasm, threats, comments or mannerisms.


    4.I will not consume alcohol, use drugs (including marijuana unless previously approved as medically necessary), or othermind altering substances while attending BridgePoint virtual programming.


    5.In order to remain a participant in BridgePoint programming, participants must remain medically and psychiatrically stable during the entire program. Should I feel like I am not able to keep myself safe I will reach out and engage outside resources as necessary (see list attached).


    I understand the BridgePoint Center “Virtual Programming Commitment” and agree to abide by BridgePoint Boundaries and Walls as presented. I understand that I am responsible for my own behavior. I understand that BridgePoint team members are available to provide support to me and assist me to continue my personal recovery.

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