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Client Agreement Form

This Coaching Agreement represents the complete understanding of the professional coaching relationship and the delivery process of coaching between: 

Coaching Process Terms:

Coach will:

  • Provide coaching sessions - 55minutes each. 

  • Provide brief email summaries or follow-ups when asked for by client or deemed appropriate by the coach.

  • Access to coach via email/website between sessions, for further support, clarity, and/or questions.

  • Maintain complete confidentiality, subject to the exceptions specified below.

  • Bring honesty, knowledge, objectivity, and qualified experience to each session.

Client agrees to:

  • Arrive/Call at times scheduled. Coach may not extend session if client is late.

  • Make payments as follows:

    • Through website, cash or check.​

    • Sessions may be cancelled for non-payment.

  • Maintain complete confidentiality.

  • Bring honesty, willingness, commitment to change and an attitude of collaboration to the coaching relationship.

Changing Scheduled Coaching Calls:
If the Client must cancel a coaching appointment, the Client will communicate to the Coach, via phone or e-mail, a minimum of 24 hours prior to the scheduled call. Every reasonable effort to reschedule within the month will be made by both the Client and the Coach. Two or more cancellations per month by the Client will not be rescheduled. If the Coach must cancel a coaching session, the coach will provide notice to the Client a minimum of 48 hours prior to the scheduled call if at all possible. Both parties will communicate in reasonable advance about any professional obligations, personal plans, or emergency that would create scheduling changes.

Confidentiality:

Information revealed by the Client during any communication with the Coach is confidential and will not be shared with any outside party without client’s written consent.  Exceptions to these standards are:

 

  • Suicidal statements, which shall be shared with family members and appropriate mental health professionals, if needed.

  • Statements of intent to harm others, which will be reported to law enforcement personnel and to the potential victim/s.

  • Evidence of child/spouse/elder physical or sexual abuse that will be reported to the appropriate State agency according to State law.

  • Special circumstances where court may subpoena records.

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If Client is seeing a counselor, therapist, or social worker at the time of coaching, Client gives Coach permission to obtain relevant information and/or records from this person if needed for a successful coaching process. Client and Coach will determine if this is necessary in a collaborative conversation, and then in writing.

Intent of Coaching Services:

The Client acknowledges and explicitly understands the Coaching Services being delivered by the Coach in no way should be defined or construed as professional counseling, psychiatry, social work, therapy and/or any additional service that requires professional licensure at the County, City, State or Federal levels. The Coach is not an employment agent, business manager, financial analyst or a potential personal/professional reference and has made no promise or obligation to deliver any related service. The Client agrees not to hold the Coach liable for any acts or omissions in the delivery of coaching services that result in the exclusive domain of the Client. The Client understands that she/he/they is/are always free to reject any suggestions, requests, or advice that is offered by the Coach. The Coach will never willfully act in a manner that is harmful or dangerous to the Client. In the occasion that the Client believes she/he/they requires the services of a licensed counseling professional, she/he/they is/are solely responsible for that determination and subsequent actions to find such a professional and seek treatment. Recommendations may be offered on request.

Termination:

The Client or the Coach may terminate the Coaching Agreement for any reason at any time.

Modification:

This agreement may not be changed, modified, or amended unless mutually agreed upon by both parties.

Governing Law:

The laws of GA, where coach resides, as applicable to agreement executed and wholly performed herein govern this agreement. This document constitutes the entire agreement and understanding of both parties and any or all prior agreements, understandings, or representations are hereby terminated and canceled in their entirety.

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