I understand that I am choosing to complete my one-day class requirement
via the online platform called ZOOM with National Institute for Change, P.C.
By choosing this option, I understand and agree to the following:
ZOOM is an online communication tool allowing for face-to-face video,
voice, or text-based chat dialogue. ZOOM is encrypted using the same
standards utilized by the US government to protect sensitive
I am responsible for joining the class on ZOOM at the scheduled time,
which is 9:00am, and I understand that I should plan to log in at least
5 minutes early to ensure that I am able to access the virtual
Class participation is required. I will have good quality Internet,
video, and audio.
I will be prepared, alone, in a quiet and private space, free of
distractions and will utilize headphones for additional security for at
least 4 hours. For privacy considerations, no other person is allowed
to attend the class with me. This includes parents, spouses, domestic partners, siblings, friends, etc.
I will be free of substances and refrain from smoking of any type durig class.
Confidentiality is expected: no outside distractions, no cell phones,
and no other open programs on my computer. Recording or photographic imaging of any part of the class session is strictly prohibited.
I also understand the following limitations of ZOOM video
sessions: Any internet based communication is not 100% guaranteed
to be secure/confidential. I agree that National Institute for Change
should not be held responsible if any outside party gains access to
ZOOM personal or confidential information by bypassing their
I understand that one-day classes are not psychotherapy or mental
health treatment; and no representation of treatment are implied or
made as a result of participating in this class. All counseling services
offered at National Institute for Change, P.C. are governed under a
In a crisis or emergency situation, that needs immediate attention,
whereby I am considering seriously harming myself or someone else, I
will call the National Suicide Hotline at 800-784-2433, dial 911 or go
to a mental health hospital/ER.
Technical problems could occur. If the class is disrupted, the therapist
will attempt to reconnect within ten minutes. If reconnection cannot
occur, the session will be rescheduled by another approved method.
I understand that in order to complete the entire course, and receive a
certificate of completion, a follow up exam will be required and I
will complete it within 3 days of the class. Once I have passed the exam at a 70% or higher, a certificate of completion will be available to me within 2
I further uderstand that, if I fail to complete the exam, within the give timeframe, I will be required to retake the class at my expense.