Jihan Amer MFT

Liability Waiver and Release Agreement

Women’s IFS (Internal Family Systems) Healing Circle

1. Purpose of the Healing Circle: To provide a safe, supportive, and confidential space created for women to engage in a healing process utilizing the principles of Internal Family Systems (IFS). IFS involves exploring and understanding one’s internal system of thoughts, emotions, and parts of the self, with the intention of fostering self-awareness, healing, and growth.

2. Acknowledgment of Personal Responsibility: Participant acknowledges and understands that IFS may bring up emotions, memories, and psychological material that can be challenging to navigate. The Participant agrees to take full responsibility for their own mental, emotional, and physical well-being during and after participation in the circle. The facilitator will provide guidance in the healing process but cannot guarantee specific outcomes. Each participant’s healing journey is unique, and results may vary.

3. Confidentiality: All conversations, insights, and experiences shared during the IFS Healing Circle are confidential and should not be discussed outside the group without explicit permission from the individual sharing. The facilitator will maintain confidentiality to the highest ethical standards, except in cases where the facilitator believes there is a risk of harm to the participant or others.

4. Assumption of Risk: Participant understands that participating in the IFS Healing Circle involves personal exploration and may result in emotional or psychological distress. While the facilitator will take steps to ensure a safe and supportive environment, there are inherent risks in engaging in emotional and psychological work.

5. Limitations of Scope: IFS Healing Circle is not intended as a substitute for therapy or professional mental health treatment. The facilitator is not a licensed therapist in the state of North Carolina and does not offer therapy services within the context of the Healing Circle. If the participant requires therapy, counseling, or medical attention, it is their responsibility to seek appropriate professional services.

6. Release of Liability: By signing this Agreement, the participant agrees to release, waive, and discharge the facilitator, any assistants, and any affiliated individuals or organizations from any and all claims, liabilities, or damages arising out of participation in the IFS Healing Circle.

7. Consent to Participate: Participant affirms that they are voluntarily choosing to participate in the IFS Healing Circle and that they have had the opportunity to ask questions and fully understand the nature of the work involved.

The Participant further affirms that they are physically, mentally, and emotionally capable of participating in the Healing Circle. If at any point they feel they are unable to continue or need additional support, they agree to communicate openly and seek assistance.

8. Indemnification: Participant agrees to indemnify and hold harmless the facilitator, assistants, and affiliated individuals or organizations from any and all claims, damages, liabilities, or expenses arising from any third-party claims related to their participation in the Healing Circle.

Thank you for your participation in the IFS Healing Circle. May you experience growth, healing, and self-discovery through this process.