Confidentiality Agreement
✦✦ Healthwisz Consulting LLC ✦✦
WOMEN’S SUPPORT GROUP CONFIDENTIALITY & CONSENT FORM
Facilitated by Kathy McCall, LCPC, CADC
Phone: 630-341-0057
Providing a warm, supportive, and respectful space for healing, growth, and connection.
Purpose of the Group
This women’s group is designed to provide a supportive, respectful, and confidential environment where participants can share experiences, receive encouragement, and build connection and personal growth.
Confidentiality Agreement
- Personal stories, names, experiences, and identifying details must not be discussed outside the group.
- No sharing of screenshots, recordings, or written summaries without permission.
- Speak from your own experience only.
- Confidentiality applies to all communication formats.
- Respectful communication is required at all times.
Limits of Confidentiality
Confidentiality may be broken if there is risk of harm, suspected abuse, or legal requirement.
Participation Expectations
Treat all members with respect, avoid judgment, maintain boundaries, and participate voluntarily.
Virtual Guidelines
Attend privately, use headphones, avoid recording, and protect meeting links.
Consent
I understand the purpose, expectations, and limits of confidentiality and agree to participate voluntarily.

