Life Coaching Waiver Form must be completed 48 hours before your initial appointment. If you have any questions please contact me!
Life Coaching Waiver
Emergency Contact Name
Emergency Contact Relation
Emergency Contact Phone Number
As a client, I understand and agree that I am fully responsible for my wellbeing during my coaching sessions, including my choice and decisions. I am aware that I can choose to discontinue coaching at any time. I recognize that coaching is not psychotherapy or counseling and that I will not be given advice.
I understand that life coaching is a relationship I have with my coach that is designed to facilitate the creation/development of my best life, and that I will express how my coach can assist.
I understand that life coaching is a comprehensive process that may involve all areas of my life, including work, finances, health, relationships, education, sports, and recreation and that deciding what to do in these areas is my responsibility.
I understand that life coaching is not a substitute for counseling or psychotherapy and I will not use it in place of any form of therapy. I agree that I am well-adjusted, mentally healthy and am ready to receive coaching services.
I agree that if I am currently in therapy or otherwise under the care of a mental health professional, I have consulted with this person regarding the advisability of working with a life coach and that this person is aware of my decision to process with the life coaching relationship.
Confidentiality: I understand that information is confidential unless I state otherwise, in writing. However, I understand that if I report abuse, neglect, or threaten to harm myself or someone else, necessary actions will be taken and my confidentiality agreement is limited in this capacity
I understand that I am responsible for the fees if I cancel a session with less than 48 hours notice. Missed sessions will not be made up.
I am choosing to participate in the coaching services with Self Compassion LLC. I understand that it is my responsibility to consult with my primary health care provider prior to participating.
Should I choose not to consult with my health care provider, I accept full responsibility and waive all rights to liability or any claims against Self Compassion LLC, or any affiliated administrators, or employees.
I, my heirs, or legal representatives forever release, waive, discharge, and covenant not to sue Self Compassion LLC, or any employees, for any injury, harm or death caused by either negligence or other acts.
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