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PetCloud Counseling Intake Form

(Information to be supplied in advance if possible)

Once you’ve completed this form you will be redirected to the booking/scheduling page.

As a participant in the Pet Loss and Bereavement Support Group or Individual Counseling Sessions, provided in-part by PetCloud (www.petcloud.pet), I understand that the purpose of this program is to provide short-term group support for individuals experiencing grief and grief related issues due to the loss or anticipated loss of a pet.

I further understand that this program is not intended to provide professional counseling and/or assessment services for the treatment of psychological problems or disorders, and that I will not be receiving professional therapeutic intervention through this program.

I further understand, if this is group counseling, that PetCloud is not accountable for anyone’s comments or actions while participating in this program. Each person is fully responsible for anything they say or do.

I agree to indemnify and hold PetCloud, and our affiliates, harmless from all liability for any and all claims, demands, losses, damages, actions, judgements of every kind and description, which may occur to me or may be suffered by or though me as a result arising out of or in any way related to my participation in this program.

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