{"id":1553,"date":"2023-09-06T14:34:57","date_gmt":"2023-09-06T18:34:57","guid":{"rendered":"https:\/\/am.ardecom.com\/?page_id=1553"},"modified":"2025-03-12T19:59:07","modified_gmt":"2025-03-12T23:59:07","slug":"consent","status":"publish","type":"page","link":"https:\/\/collectifbienetre.com\/en\/consent\/","title":{"rendered":"Consent Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1553\" class=\"elementor elementor-1553 elementor-1291\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6ab107e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6ab107e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-964c3f9\" data-id=\"964c3f9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-616aaa0 elementor-widget elementor-widget-heading\" data-id=\"616aaa0\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Consent Form<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9999ac0 elementor-widget elementor-widget-text-editor\" data-id=\"9999ac0\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2>The therapeutic process<\/h2><p><span style=\"font-weight: 400;\">Our therapeutic journey together involves guiding individuals and couples as they seek solutions and well-being amidst the challenges of daily life. We understand that everyone&#8217;s needs and goals are unique, so our approach is tailored specifically to you. Throughout our sessions, we work together to identify and address relationship and sexuality issues, crafting strategies and solutions that bring back equilibrium. We draw from diverse tools, including eclectic and feminist perspectives, which highlight your strengths and abilities. We prioritize your comfort and pace, offering a safe and non-judgmental space where you can reclaim control over your life.\u00a0<\/span><\/p><h2>Modality<\/h2><p><span style=\"font-weight: 400;\">The procedures we follow are designed according to your unique needs, the challenges you&#8217;re facing, and the goals you have in mind. As a result, the frequency of our follow-up sessions can&#8217;t be set in stone \u2013 it varies based on what&#8217;s best for you. Each session is designed to last 50 minutes, ensuring that we make the most of our time together.<\/span><\/p><h2>Record Keeping<\/h2><p><span style=\"font-weight: 400;\">When you start your journey with us for a sexology consultation, rest assured that we treat your information with the utmost confidentiality. We handle your details following the strict guidelines of the <\/span><i><span style=\"font-weight: 400;\">R\u00e8glement sur les dossiers, les cabinets de consultation et autres bureaux<\/span><\/i><span style=\"font-weight: 400;\"> set by the <\/span><i><span style=\"font-weight: 400;\">Ordre professionnel des<\/span><\/i><span style=\"font-weight: 400;\"> sexologues du Qu\u00e9bec.<\/span><\/p><p><span style=\"font-weight: 400;\">Your information is kept secure and private. We never share any details about you with a third party unless you give us your written consent. If you&#8217;re joining us for couple or family sessions, we make sure to get authorization from each member involved.<\/span><\/p><h2>Confidentiality<\/h2><p><span style=\"font-weight: 400;\">During our meetings, the information we discuss is treated with the utmost confidentiality, guided by professional secrecy. However, it&#8217;s important to know that there are some legal limits to this confidentiality:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">If requested by a judge.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">If there&#8217;s a concern about your safety or the safety of another person.<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Additionally, according to the Youth Protection Act, if we have valid reasons to believe that a child&#8217;s safety or well-being is at risk, we&#8217;re obligated to report the situation to other professionals or individuals in your immediate support network who can help.<\/span><\/p><p><span style=\"font-weight: 400;\">Your privacy and well-being remain our top priority as we work together.<\/span><\/p><h2>Professional Supervision<\/h2><p><span style=\"font-weight: 400;\">Our sexologist is a registered member of the <\/span><span style=\"font-weight: 400;\">l&#8217;Ordre professionnel des sexologues du Qu\u00e9bec<\/span><span style=\"font-weight: 400;\">. They are committed to upholding the high standards set by the <\/span><i><span style=\"font-weight: 400;\">Code de d\u00e9ontologie des sexologues<\/span><\/i><span style=\"font-weight: 400;\"> and following the regulations laid out by the professional order. Your well-being and quality of care are paramount to us.<\/span><\/p><h2>Fees and Session Procedure<\/h2><p><span style=\"font-weight: 400;\">As we proceed, please ensure you adhere to your responsibilities regarding fees and our cancellation policy. To facilitate this, we kindly request that you make payments for each 50-minute session via bank transfer.<\/span><\/p><h3>Absence<\/h3><p><span style=\"font-weight: 400;\">If you&#8217;re unable to attend a session, we kindly ask that you inform us promptly. You can reach us by emailing amsexologue@gmail.com. No charges will be incurred for cancellations made within 24 hours. However, a full session fee will be applicable if the cancellation is not made at least 24 hours in advance.<\/span><\/p><h3>Late Arrival<\/h3><p><span style=\"font-weight: 400;\">Should you experience a delay, please be aware that the fee for the full session will still be charged. Nonetheless, the session will conclude at the originally scheduled time. In the rare event that the therapist is not punctual, your session will be extended to a full 50 minutes to ensure you&#8217;re not inconvenienced.<\/span><\/p><h3>Benefits and Risks<\/h3><p><span style=\"font-weight: 400;\">Engaging in therapy offers a safe space to explore your thoughts and emotions, aiding in self-discovery, personal growth, and improved mental well-being.<\/span> <span style=\"font-weight: 400;\">While therapy can be transformative, it might evoke discomfort as you delve into challenging topics. However, this process is often essential for lasting positive change.<\/span> <span style=\"font-weight: 400;\">Recognizing both the potential benefits and the temporary challenges of therapy can empower you to navigate your healing journey with resilience and optimism.<\/span><\/p><h3>Termination<\/h3><p><span style=\"font-weight: 400;\">Should the sexologist find that their assistance or the proposed treatment is no longer aligning effectively, they are obligated to have a conversation with you about discontinuing the follow-up. If it&#8217;s deemed suitable, they might also recommend another professional they believe would be more appropriate. Equally, you hold the right to conclude your sexology consultation process at any time.<\/span><\/p><p><strong>Audrey Morabito, sexologist et psychotherapist<\/strong>\u00a0<br \/>Member number OPSQ: 201312-27<br \/>Permit number : 62131-23<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9ae754e elementor-widget elementor-widget-heading\" data-id=\"9ae754e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Informed Consent<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2b3b944 elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"2b3b944\" data-element_type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Suivant&quot;,&quot;step_previous_label&quot;:&quot;Pr\\u00e9c\\u00e9dent&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"EN - Consent Form\" aria-label=\"EN - Consent Form\" novalidate=\"\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"1553\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"2b3b944\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Consent Form - Collectif Bien-\u00catre\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"1553\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-nom elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-nom\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLast name and first name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[nom]\" id=\"form-field-nom\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-field_d54df5b elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d54df5b\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEmail\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[field_d54df5b]\" id=\"form-field-field_d54df5b\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_d95411d elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"I declare that I have read and understood the form and that a copy has been provided to me. I have had the opportunity to ask questions to which satisfactory answers have been given. I am aware of the procedures and functioning of the sexology consultation process. I consent freely to embark on a sexology consultation process. This consent can be revoked at any time.\" id=\"form-field-field_d95411d-0\" name=\"form_fields[field_d95411d]\" required=\"required\"> <label for=\"form-field-field_d95411d-0\">I declare that I have read and understood the form and that a copy has been provided to me. I have had the opportunity to ask questions to which satisfactory answers have been given. I am aware of the procedures and functioning of the sexology consultation process. I consent freely to embark on a sexology consultation process. This consent can be revoked at any time.<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-recaptcha elementor-field-group elementor-column elementor-field-group-field_d2107eb elementor-col-100\">\n\t\t\t\t\t<div class=\"elementor-field\" id=\"form-field-field_d2107eb\"><div class=\"elementor-g-recaptcha\" data-sitekey=\"6Lc9x_IqAAAAAGEKS5XKXD_csAosTGtBKK6LoYWp\" data-type=\"v2_checkbox\" data-theme=\"light\" data-size=\"normal\"><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Submit<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Consent Form The therapeutic process Our therapeutic journey together involves guiding individuals and couples as they seek solutions and well-being amidst the challenges of daily life. We understand that everyone&#8217;s needs and goals are unique, so our approach is tailored specifically to you. Throughout our sessions, we work together to identify and address relationship and [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-1553","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Consent Form - Collectif Bien-\u00catre<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/collectifbienetre.com\/en\/consent\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Consent Form - Collectif Bien-\u00catre\" \/>\n<meta property=\"og:description\" content=\"Consent Form The therapeutic process Our therapeutic journey together involves guiding individuals and couples as they seek solutions and well-being amidst the challenges of daily life. 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