This Agreement is entered into by and between _____________________________ (Coach) and __________________________________ (Client). The Coach agrees to provide coaching services to the Client.
In consideration of this, the Client does waive, release, hold harmless, and discharge the Coach and any training program affiliated with the Coach including any officers, agents, independent contractors, subcontractors, employees, representatives, and all others from all responsibility or liability for injuries, damages, or losses resulting from the Client’s participation in such coaching.
The Client understands and acknowledges that the Coach is not a mental health or medical professional. Coaching does not involve the diagnosis or treatment of mental, physical, or emotional disorders.
The Coach will not prescribe or give unsolicited advice. The Coach’s goal is to facilitate a supportive alliance in which the Client can maximize personal potential, develop and attain goals, and become independent of the Coach.
COACH-CLIENT RELATIONSHIP
The Coach has training and expertise in health and wellness coaching, goal setting, values clarification, lifestyle resources, and motivational techniques. The Client is aware that results or specific outcomes through coaching are not guaranteed. The Client acknowledges that they are responsible for their own results and outcome. The Client agrees to hold the Coach free of all responsibility and liability for any adverse situations created as a direct or indirect result of resources, referrals, or advice given by the Coach.
ROLES AND RESPONSIBILITIES
The Coach will:
- Deliver a coaching process and structure following guidelines set forth by evidence-based methods
- Practice according to generally accepted coaching standards and the NBHWC Code of Ethics
- Abide by the confidentiality agreement contained herein
The Client will:
- Communicate openly and honestly with the Coach, indicating any preferences or changes desired
- Actively create the time to participate fully in the agreed-upon program
- Acknowledge accountability for actions, behaviors, and choices
SCHEDULE AND CANCELATION POLICY
Day and time of sessions will be agreed upon by the Coach and the Client. Sessions will be conducted for a period of _______ minutes each ________________ (week/month).
Any changes must be made by email at least 24 hours prior to the scheduled session. In the event of a missed session where the Client has not provided notice, the Coach will attempt to reach the Client to reschedule. The Coach reserves the right to bill the Client for missed sessions where proper notice was not provided.
FEES
The fee is __________ per series of _________ sessions. All fees must be paid prior to the start of the first session. Accepted payment methods and information will be provided to the Client via email prior to first session.
Coaching sessions are non-refundable.
PROCEDURE
The Coach will initiate video or phone contact at the agreed-upon session times. Contact information and additional instructions for phone and video sessions will be provided to the Client via email prior to the first session.
LENGTH OF AGREEMENT AND TERMINATION
This Agreement is for ___________ (sessions/months) and may be extended by agreement of the Coach and the Client at any time.
CONFIDENTIALITY
The coaching relationship and all information the Client shares with the Coach as part of the relationship are bound by a Code of Ethics that assures confidentiality. The Coach and the Client recognize that confidential or sensitive information may be shared during sessions. The Coach will not disclose this information to any other parties without the Client’s explicit permission. The Client acknowledges that there are situations under which the Coach is obligated to report information shared by the Client. These situations include when information is received that someone may be harmed or when there is a threat to the Client’s health or safety.
RELEASE AND WAIVER
The Client agrees that engaging in coaching services with the Coach is at their own risk. It is acknowledged that the Coach provides services “as-is” and without express or implied warranty of any kind. The Client understands that coaching may include discussions about values, strengths, motivation, vision and goal creation, and overall health and wellness. The Client may freely accept or reject any of these options. The Client understands that health and wellness coaching is not a substitute for counseling, mental health treatment, or medical treatment. The Client acknowledges that they have been examined by a physician and have been given permission to participate in coaching, or the Client has decided to participate without approval of a physician and assumes all responsibility and risks associated with such participation.
The Coach and the Client have read and indicated their understanding of the above Agreement, Release, and Waiver and the terms contained therein.
Client Signature _______________________________ Date ________________
Coach Signature _______________________________ Date ________________
