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Rules of Engagement for CHYP Programs

CHYP is providing a 6-week, weekly Zoom video chat group for youth with chronic pain, for
informational purposes.
The duration of this service is unknown and may be discontinued at any time..

  1. Please remember that everyone’s pain journey, symptoms, diagnosis, and treatment is
    different. What works for you may not work for others, and vice versa. Further, this
    is not meant to be a therapeutic intervention or medical treatment, and no medical
    or clinical advice should be shared.
  2. Be respectful, responsible, and appropriate with your use. This is a judgment and
    intolerance free space.

    a. DO NOT: Bully, harass, disrespect, exploit, bash, troll, or be rude, offensive, cruel, or
    graphic.

    b. Refrain from content (e.g. language, pictures, or jokes) that is inappropriate, foul,
    abusive, or suggestive.
    c. This organization and online community does not have any religious or political
    affiliation (all are welcome!). Out of respect for differing beliefs that can trigger others,
    please refrain from those types of comments/content.
    d. Try to stay on-topic and relevant.
    e. Treat others the way you want to be treated. If your comment/response is not positive
    or supportive, think twice about posting, or speaking. This is a frustrating time for
    everyone. While venting is part of the process, we want to encourage positivity and
    support.
  3. What happens in group, stays in group! Please be respectful of other group members’
    private information.
  4. Although there will be an adult moderating the discussion, this is not meant to be
    a therapeutic intervention or medical treatment whatsoever. This is solely an
    opportunity to feel connected to peers during this challenging time.
  5. No selling, soliciting, promoting, advertising, spamming, or fundraising for profit.
  6. This is a vulnerable population. We understand that chronic pain is linked to mental
    health issues (like depression and anxiety). However, self-harm/suicidal comments or
    threatening comments (to self or to others) will not be acceptable topics of discussion
    and the individual/comments may be removed. This community is not an emergency
    service. If you feel like you or someone else is in danger, please call “911.”
  7. If you have a concern or question about what you or others are discussing, please
    feel free to reach out to the CHYP team (admin@mychyp.org).
  8. If you have questions about any content you encounter through CHYP, please
    consult with your own doctors and clinicians. Exposure to everything through
    CHYP is purely educational and should be processed with a professional.
    Information provided through this service is not intended or implied to be a
    substitute for professional medical or psychological advice, diagnosis, or treatment.
    All content available through CHYP is for general purposes only.

 

Data Privacy Notice 


We discourage you from sharing personal information (last names, phone numbers,
social media accounts, addresses, etc.) and sensitive information (medical or clinical
advice or diagnoses).
However, we may collect and use in Media Publications the following information, as
disclosed in the authorization form you signed permitting us to use this information:


• First name (or alias);
• Image(s);
• Voice;
• Diagnosis (optional); and
• Testimonials.

 

If you have a concern or question about what you or others are sharing, please feel
free to reach out to the CHYP team (admin@mychyp.org).

__________________________________________________________________________________________________

I am mindful that my feedback and other contributions to this group will be used to
support CHYP’s mission. This may include my first name (or alias), age, writings,
photographs, videos, audios, and more to be used throughout CHYP media. I am
aware that my participation in CHYP activities is voluntary.
I have read through and agree to the rules of engagement. I know that the Zoom is an
independent program that will be using as a tool to collaborate and share ideas. I
understand this is an optional method of communication that I do not have to use, but
if I am added to this group, I agree to all of the above rules.

Please initial the paragraph below which is applicable to your current situation:
I am 18 years of age or older and I am competent to contract in my own name. I have read this document before signing below, and I fully understand the contents, meaning, and impact of this release. I understand that I am free to address any specific questions regarding this release by submitting those questions to admin@mychyp.org or calling 818-671-0620 prior to signing. I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release. :
I am the parent or legal guardian of the child named below. I have read this document before signing below, and I fully understand the contents, meaning, and impact of this release. I understand that I am free to address any specific questions regarding this release by submitting those questions to admin@mychyp.org or calling 818-671-0620 prior to signing. I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release.:
Participant’s Name:
Age:
Participant’s Signature:
Date:
Parent’s Signature:
Date:
Parent’s Phone Number:
Parent’s Email:
Emergency 1 Contact Name:
Relation:
Emergency 1 Contact Phone Number:
Emergency 2 Contact Name:
Relation:
Emergency 2 Contact Phone Number:

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