Please read the document below in full, and then complete and submit the form at the bottom of the page to confirm your agreement to the contract at least 48 hours prior to our session.
Procedure: I ask for a commitment of three months meeting weekly. The first session will be a full hour since we will be exploring a lot of information, but all following sessions will be 45 minutes. Please complete and return the forms on my website under the Coaching/Coaching Paperwork tab at least 48 hours prior to our initial session. If you need to reschedule any session, please let me know at least 24 hours in advance to avoid a full charge for the session. The session time is being set aside for you, and I expect you to honor that time commitment to yourself, and to me.
Preparation: After our initial session, I ask that you come to each coaching session prepared with an agenda of what you want from each meeting by completing the Coaching Session Prep Form on my website under Coaching/Coaching Forms. Please send this to me at least 24 hours prior to our scheduled sessions.
Expectations: Please be honest with yourself and with me throughout the coaching process. You can expect me to be straightforward, constructive and confidential. You can say anything to me, positive or negative; this includes honesty in your responses to me, and letting me know if something makes you feel uncomfortable or if you don’t want to respond to a question. The key to an effective coaching relationship is communication. Please let me know at any time if you have concerns that we haven’t addressed.
As your coach, I am a resource for you to use to your best advantage. I will share concepts or insights, and ask re-orienting questions that are intended to increase your success in attaining your health goals.
I expect your best. If you aren’t doing your best, I’ll ask you to. I expect you to be willing to grow. From time to time, I will make a request like, “Will you accomplish X by the end of the month?” You always have the option of accepting a request, declining, or counter-offering something that might be more workable for you.
Retainer and payment procedure: The 3-month initial fee is due prior to our first official series session. This includes twelve 45-minute telephone coaching conversations, plus light text or email support Monday-Friday. Please send full payment via PayPal using the procedures outlined on my website under Private Sessions/Payments tabs.
Completion of the time period: Because of the time, scope and nature of this work, the initial contact is for three (3) months of coaching. Thereafter, the work can be done on a month-to-month basis, or a new six or 12-week commitment can be established to work on another health behavior change.
Confidentiality: I recognize that in the course of our work together, you may give me the following: future plans, health information, financial information, goals, personal information, and other proprietary information. I will not at any time, either directly or indirectly, use any information for my own personal benefit, disclose, or communicate in any manner any information to any third party. I will not divulge that you and I are in a coaching relationship without your permission. I will hold everything that we say and do confidential unless you present as a physical danger to yourself or others. In this case, I will inform legal authorities so that protective measures can be taken. In addition, you should know that unlike a physician or a lawyer, our confidentiality agreement is not protected by law. Should it ever happen, I cannot claim in court to be unable to divulge the contents of our conversations.
Nature of the relationship: You are aware that the coaching relationship is in no way to be construed as psychological counseling or psychotherapy. In the event that you feel the need for professional counseling or therapy, it is your responsibility to seek a licensed professional. Coaching results are not guaranteed. You enter into coaching with the understanding that you are responsible for creating your own results. As part of my training, you are working with me on a volunteer basis for the purpose of creating a structure to identify and achieve your health and well-being goals.
Client waiver: Simply stated, you understand that I am an integrative health coach offering motivational and educational services. I cannot be held liable for any advice, suggestions, or guidance that I provide during our work together.
Please complete the form below to agree to the above contract.
After you submit this form, a copy of what you submitted will come onto the screen. Click HERE to return to the Coaching Paperwork page.