Consultee is seeking I-CBT consultation services from Olympic OCD Services PLLC.
Under this agreement, specific objectives related to I-CBT consultation will be provided and will include topics relevant to the practice of I-CBT including but not limited to: I-CBT/IBA model, 12 modules of treatment, use of modality, case conceptualization, treatment planning, methods and mechanics related to I-CBT, screening, research, & differential diagnosis.
Consultee understands and agrees that:
1. No supervision or employment relationship exists between Olympic OCD Services and consultee.
2. Consultee has completed their own learning about I-CBT at an introductory level OR Consultee is currently reading the Clinician's Handbook for Obsessive Compulsive Disorder, Inference-Based Therapy and the modules.
3. Consultee asserts that they are credentialed or licensed to practice psychotherapy and hold their own liability and malpractice insurance.
4. If consultee is unlicensed, consultee attests to receiving regular clinical supervision with a licensed clinician and carries their own liability and malpractice insurance.
I attest that I understand that participation in the consultation does not qualify me for a vocation.
I agree to hold the faculty, staff, participants and sponsors of Olympic OCD Services free and harmless of any claims, demands or suits for damages from injury or complications whatever, save negligence, that may result from such consultation.