Eating Disorder Support Group Registration

Lotus Form

Register Here for our Online Support Groups

* indicates required

Email Address *

Name *

Age *

I am registering for: *

Support Group Protocol *

Everyone here agrees to honor one another's privacy. Your choice to speak freely is sacred and should be treated as such. We honor one another's trust by listening when someone else is speaking, thinking of ways to support this individual with the group time we share, using the time to stop thinking my own thoughts and practice being in a place of non-judgment, compassion, and empathy. We also honor one another's trust by not sharing one another’s identity or experience with others outside of this group. We practice only sharing from our own experience such as "Today, I felt supported in group," and "I struggled to speak my truth in group. I found it hard to be vulnerable." The purpose of this online support group is for the group members to practice giving and receiving support. We do this by actively listening and sharing. Due to the limits of this support group, we cannot use the group to support members that are actively in crisis, medically unstable, or struggling with serious thoughts of suicide or homicide. Support groups are not psychotherapy groups. We encourage participants to seek individual or group therapy if they are needing more individualized and intensive therapeutic support. This group is open to the public and discussions may contain intense content not suitable for all ages.

I understand and agree to the above statement

Confidentiality (HIPAA laws) *

TRUST & PRIVACY I agree to maintain confidentiality per HIPAA laws while participating in the group. (Confidentiality includes but is not limited to, member identity and any related information.) I agree to keep the identity of any group members as well as anything shared in group confidential. **Please note that while we aim to maintain a safe and confidential virtual space and ask all participates to agree to maintain confidentiality per HIPAA laws; due to the nature of this web-based and public forum, we can't unequivocally guarantee confidentiality.**

I understand and agree to the "Trust and Privacy" statement on this page.

I agree to receive email communications about this group from The Lotus Collaborative *

I agree