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Sample Confidentiality Form for Church-based Peer Support

Sample Confidentiality Form for Church-based Peer Support Groups

[Program Name]/[Ministry Name] Confidentiality Policy [Program Name] leadership will hold as confidential all disclosures made in the context of the [Program Name] program with these three exceptions:

1) All small group leaders reserve the right to discuss matters disclosed by group members for the purpose of receiving supervision and oversight. This oversight will occur in group supervision meetings held by the group coordinator and attended by other small group leaders, and in supervision sessions held between the ministry director and an outside supervisor.

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