Coming Back to Yourself — Informed Consent & Privacy Notice

Part 1: Informed Consent for Group Therapy

About the group

"Coming Back to Yourself" is a 6-session virtual therapy group for women, offered by Vegas Valley Comprehensive Counseling, LLC (VVCC). Sessions are 90 minutes, held weekly from 11/4/26 to 12/16/26 (no meeting 11/25/26), and led by Andrea Harmon and Emi Olmeztoprak. 

This is a process oriented group.  VVCC keeps a record of your participation.

What Brainspotting is:

Brainspotting is a brain-body therapy. It uses eye position, focused attention, and bilateral sound to help the nervous system process stress, painful experiences, and emotional patterns. In this group, you process privately, guided by the facilitator. You do not have to describe your experiences out loud, and you share only what you choose.

Possible benefits

• Less stress and emotional overwhelm
• More awareness of body sensations and emotional patterns
• Greater self-compassion and connection with others who relate to your experience

Results vary from person to person, and no specific outcome is guaranteed.

Possible risks

• Strong emotions, memories, or body sensations during or after sessions
• Feeling tired, raw, or unsettled for a day or two afterward
• Temporary increases in distress before improvement
• Discomfort from hearing other members' experiences

You can stay in your resource spot instead of processing at any time. Tell the facilitator if a session leaves you feeling unsafe or overwhelmed and you need additional support.

Telehealth

• Sessions take place on Zoom, which VVCC uses under a Business Associate Agreement.
• You must be physically located in Nevada for every session. 
• Join from a quiet private space where you won't have distractions or disruptions
• Plan to have your camera on 
• If the connection drops, try to rejoin. If you can't rejoin within 10 minutes, please text us at 702-483-8260

Group confidentiality

VVCC staff keep what you share confidential, within the legal limits below. Other group members are asked to do the same, but VVCC cannot guarantee that every member will. By joining, you agree to:

• Not share the names, identities, or stories of other members outside the group
• Not record, screenshot, or photograph any part of a session
• Not allow anyone else to see or hear the session

You are free to talk about your own experience in the group with anyone you choose.

Limits of confidentiality

The facilitator may have to share information without your consent when:

• There is reasonable cause to believe a child is being abused or neglected (NRS 432B)
• There is reasonable cause to believe an older or vulnerable person is being abused, neglected, exploited, or isolated (NRS 200.5093)
• You communicate an explicit threat of serious harm to an identifiable person (NRS 629.550)
• There is an imminent risk that you will seriously harm yourself
• A court orders the release of records
• Other situations required or permitted by law 

Safety between sessions

VVCC  does not provide crisis services. If you are in crisis between sessions, call or text 988 (Suicide & Crisis Lifeline), call 911, or go to the nearest emergency room. You can reach VVCC during business hours at 725-202-9340.

Fees, attendance, and cancellation

• Fee: $475 for all 6 sessions, due at registration 
• Missed sessions are not refunded or made up individually, because the group runs as a cohort.
• If VVCC cancels a session, it will be rescheduled.
• Please tell the facilitator ahead of time if you will miss a session.
• This group is self-pay only and is not covered by insurance

Your Rights 

Your participation is voluntary. You can ask questions at any point, decline any exercise, and leave the group at any time. You can request individual therapy or a referral at any time.

Agreement

I have read this consent form, had the chance to ask questions, and agree to participate in the group under these terms.

Part 2: Group Privacy Notice

VVCC protects your health information under HIPAA and Nevada law. This notice explains how that applies to this group. VVCC's full Notice of Privacy Practices, which you received at intake, still applies.

What we collect

Only your name and email are stored in Thinkific. No clinical information, screening answers, or session content is entered on that platform. 

How we use and share it:

• To provide your treatment, coordinate care, and process payment
• With vendors who support our services (EHR, telehealth, billing) under Business Associate Agreements
• When required by law, as described under Limits of Confidentiality in Part 1

VVCC never sells your information or uses it for marketing without your written permission. Your participation in this group will never be used in testimonials or promotion without your separate written consent.

Recording

VVCC does not record group sessions. Participants agree not to record, screenshot, or photograph sessions. Participants who are found to be violating this policy will be removed from the group and will not be refunded. 

Communication

VVCC may send session links, reminders, and between-session practices through email or text  Regular email and text messages may not be fully secure.

Your rights:

• See and get a copy of your records
• Ask to correct information you believe is wrong
• Ask how your information has been shared
• Ask us to limit certain uses or to contact you a specific way

Contact

Vegas Valley Comprehensive Counseling, 

4045 Spencer St., Suite A48, 

Las Vegas, NV · 725-202-9340 

vvcounseling.com

[email protected] 

Acknowledgment

I have received and read this Group Privacy Notice and VVCC's Notice of Privacy Practices.