Name
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Email
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Pronouns
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Would you prefer a phone or video call?
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What would you like to discuss in our session? Please provide me a bit of background information.
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What are you hoping to get out of this session?
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Do you need any specific accommodations during the session?
Anything else you think I should know?
Sexuality Education Sessions
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Sexuality education sessions are a space for you to ask questions, seek advice, or collaboratively problem-solve about issues surrounding sex and sexuality. This can include things like queer identity, safe sex practices, STI stigma, and beyond. My approach in these sessions will be similar to my approach to therapy—conversational, relational, collaborative, non-judgmental, and always queer-, sex-worker-, kink-, and consensual non-monogamy-affirming.
Sessions can be 30 minutes or 1 hour. Sessions are intended to be one-time or as-needed, as opposed to a weekly standing appointment. I am offering sexuality education services free of charge at this time.
While life is uncertain and conflicts arise unexpectedly—especially during a global pandemic—I ask that you kindly provide a minimum of 24-hour notice as much as possible before canceling a session.
Confidentiality
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Except for the situations outlined below, you have the right to confidentiality for your session. Your communication with me is confidential and will not be disclosed without your consent.
Limitations to confidentiality:
I am under clinical supervision as a means of ensuring quality of care prior to obtaining licensure. If you intend to have a follow-up session, I may discuss our initial session in supervision with Nicole in order to better serve your needs, though your name and identifying information will not be disclosed. In such consultations, Nicole is also legally bound to maintain the confidentiality of what we discuss.
Other limitations—situations in which I am required to break confidentiality:
• If you share about abuse or neglect of a child; elder abuse or neglect; or abuse or neglect of an individual with a disability, I am required to report this to the appropriate agency.
• If you share an immediate risk/threat of suicide, homicide, or harm of another person by the client, I am required to report this to the appropriate agency.
If any such a situation arises, I will attempt to discuss the matter with you prior to taking action, unless there is a good reason not to. I will also attempt to explore with you all other options to ensure your safety prior to breaking confidentiality. Please be aware that if I believe your life is in immediate danger, I may release information that would protect your life, even if I cannot obtain your permission. If this situation were to occur, I will discuss this with you as soon as possible afterwards.
No guarantees
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I am voluntarily agreeing to sexuality education services with Sophie Pellegrini. I understand that Sophie cannot guarantee any outcome or results from our session, and that Sophie offers only her personal & professional expertise and opinions. I understand that a sexuality educator is not a licensed medical or mental health professional, and education services are not a substitute for medical treatment or advice. Sophie cannot diagnose mental illnesses as part of this education relationship.