SUPPORTING SURVIVORS BILL OF RIGHTS
Posttraumatic Stress Disorder (PTSD)
THE OMEGA BILL HB_6432
SwatCounselTeam Survivors With A Testimony
I understand that indigenous Elizabeth Gaskins is trained in free faith based ministry principles but that she is not a professional, board certified counselor. SwatCounselTeam is not a counseling ministry.
I acknowledge that some or all of the procedures used to provide spiritual and emotional
help to me or to anyone present may or may not be clinically demonstrated as
guaranteeing either short-term or long-term results.
I ____________________________,voluntarily accept this person's help and know that I am free to end my participation at any time for any reason. Once I terminate, however,
I accept full responsibility for my choices even if they are detrimental or harmful to me and for all aftercare and follow up. I understand that I am fully responsible for any and all consequences for prematurely terminating any intervention that was pursued on my own behalf. I will not hold SwatCounselTeam or Elizabeth Gaskins indigenous Counsel or any gathering or facility where we meet responsible for what happens there in or as a result of my SwatCounselTeam session(s) nor do I desire for anyone so act on my behalf.
I ___________________________,also acknowledge that she has the right to discontinue indigenous believes to me at any time.
I accept all responsibility for keeping confidential any personal information that may be
shared with me during the time that I am in session. I give permission to be anonymously used for testimony purposes.
I understand that my name may be added to our mailing list, unless you request that it not be acknowledged .
NOTICE TO LAW ENFORCEMENT OFFICERS
I do not consent to a search of my person, house, papers, effects, or indigenous rights, motorcycle, motor vehicle, or any moving of my rights. I retain all my United States Amendment rights and all other rights under the United States and Federal Constitutions.
Signature: Elizabeth L Gaskins
Without Prejudice UCC 1-207
Date &Time 10/11/2010
Free Faith Indigenous Ministry Pro Se Rights
Savanna IL, 61074 1-815-273-0911