Patterson Psych Group, PLLC
Help for today, Hope for tomorrow
Jessie The Therapy Dog
While I have listed some of these risks below, we cannot foresee all potential problems that may occur. Therefore by signing this form you are releasing Erin Patterson, MA Ed S, LCMHC-S from any liability should any injury occur as part of your treatment at Patterson Psych Group.
CONSENT AND RELEASE OF LIABILITY FOR ANIMAL ASSISTED THERAPY
Therapy animals can be a vital part of the treatment team; I hope that you are comfortable with
Jessie’s presence in your sessions. However, because she is an animal, and not a human, we
are responsible for her welfare. In addition, because she is an animal, her behavior cannot
always be predictable. Therefore, it is important to discuss in advance the risks and rules needed to insure Jessie’s and your safety and health, and try to create as safe a working situation as possible. In addition, it is important to provide you with diligent warning about the potential harm that could be present when working with animals.
By signing below you are stating your acceptance of these rules and risks and agree to accept full liability in the event that Jessie harms you or your child in any way in the course of treatment or you or your child is harmed in any way as a result of being on the property of 1554-C Union Road, Gastonia NC 28054 or at any other place while in the presence of Erin Patterson, MA EdS, LCMHC-S and Jessie.
Jessie, or Jessica when she is in trouble, is a 4 and a half year old lab/pit mix who was rescued from a less-than-ideal situation at 5-weeks old. She has come to work at Patterson Psych Group almost every day since (except during the most recent global pandemic).
She is well-behaved, but energetic. She is loving and curious and honestly sleeps most of the day. Occasionally on the couch or on the back of the couch.
Please see the information below if you are considering seeing Erin for therapy. This consent will need to be signed prior to sessions and includes risks and rules regarding having Jessie join sessions.