Private Coaching Services Agreement
HEALTH AND WELLNESS COACHING SERVICES AGREEMENT
This Health and Wellness Coaching Services Agreement (“Agreement”) is made by and between Mastering Me, LLC, an Illinois Limited Liability Company (“Coach”) and the Client (“You” or “Your”) (individually a “Party” and together the “Parties”) and is effective as of the date signed below.
The Parties agrees as follows:
Health and Wellness Coaching Services.
1. The Coach will provide the Client with health and wellness education and/or coaching services (“Services”). Coaching is a partnership (defined as an alliance, but not a legal business partnership) between the Coach and a Client in a thought provoking and creative process that inspires the Client to make changes to improve his or her health or wellness and create and develop personal goals.
2. The services can take place through various platforms including in person, over the telephone or via Zoom or other electronic means as the Coach and the Client deem appropriate. The manner of contact will be agreed upon by the parties at the time the services commence.
Scope of Services.
1. My private coaching Sessions focus on alleviating acute stress and anxiety. You will learn what is happening in Your body when You are in Your fight or flight and identify thoughts and feelings that are engaging the reaction. This new awareness, with the application of evidence-based tools, brings confidence and motivation to meet goals beyond Your immediate comfort level.
2. No Guarantee. You recognize the Coach cannot guarantee results or any specific outcomes from the Services. While the Coach is committed to assisting You achieve Your goals, ultimately, Your involvement, based on Your interpretation of the information presented, or engagement with the Services and the Coach affect the outcomes. You are responsible for any action taken based on Your interpretation of any information presented or engagement with the Services and the Coach.
3. Educational Purposes Only. You understand and acknowledge the Services are educational and informational in nature. The Services are not meant to establish a patient-provider relationship, establish a standard of care, or offer medical, dietary or therapeutic care, advice, opinion, diagnosis or treatment.
4. The Coach is not a medical physician or licensed mental health provider. Coach is providing personal experience and coaching training in the Services provided.
The Services are not intended to replace independent professional or medical judgment.
The Services are not intended to solicit patients and should not be relied upon as medical, psychological, or other professional advice of any kind or nature.
The information provided through the Services should not be used for diagnosing or treating any mental or physical health problem or disease.
The Coach is not replacing care currently provided to You by other licensed providers, such as Your current primary care physician or mental health professional. You should maintain a relationship with a licensed provider who is available to provide emergent and urgent care to You.
Sessions.
Sessions will adhere to the following:
a. Scheduling. Each Session will be scheduled by the Coach through the Services platform for an agreed upon day and time for the sustained number of sessions, convenient for both Parties.
b. Duration. Each Session will last sixty (60) minutes.
c. Session Expectations.
I acknowledge that coaching is not a substitute for professional mental health counseling.
I acknowledge that I am fully responsible for my own progress through my choices and decisions during this process.
I agree to openly and honestly share any personal information related to my overall wellness that will be beneficial to my safety and success.
I understand I may have setbacks in my behaviors and that these are a normal part of behavior change that may be used positively to establish new behaviors.
I will participate wholeheartedly with my Coach and will commit to being on time for our sessions.
d. Weekly Engagement. Coach may encourage You to track progress and experiment to help identify conflict behaviors that impede You reaching your goals.
e. Rescheduling by You. If you need to reschedule, as a courtesy, please notify the Coach twenty-four (24) hours in advance of your scheduled Session. Said Session will be rescheduled within the same week. If twelve (12) hour notice is not given to the Coach for a cancellation, the Session may not be rescheduled.
f. Late to Session. Coach will wait for You to arrive to Your Session for fifteen (15) minutes. If You have not joined or reached out at that time, the Coach will end the Session and the Session may not be rescheduled.
g. Session Rescheduled by the Coach. If the Coach has to reschedule a Session, for any reason, You will be given priority to reschedule a date at your earliest convenience within our contracted dates of service. Out of mutual respect, as much warning as possible will be given to the Client.
Client Responsibility for Self-Care.
You are responsible for disclosing to the Coach any relevant information needed to receive Services safely and efficiently, which may include medication, care, treatment, diagnoses, and assessments from Your licensed medical provider(s).
You understand any inner-directed work or reflection can bring up distressing feelings, images, thoughts, and behaviors. If You find You require additional services beyond the scope of this Agreement, You agree to seek medical assistance or psychotherapy in Your State of residence (such as a licensed medical doctor or licensed psychologist).
If the Coach feels You require additional services beyond the scope of practice in these Services, professional resources will be shared. The Services may be suspended or terminated with a prorated refund, if that is in the best interest of the Client at the time.
Consent.
The client hereby consents and acknowledges that he or she will be sharing personal information throughout the coaching process in order to meet his or her goals. As set forth hereafter, said information shall remain confidential between the Coach and Client. The Client further acknowledges that coaching does not involve the diagnosis or treatment of mental disorders as defined by the American Psychiatric Association and that coaching is not to be used as a substitute for counseling, psychotherapy, psychoanalysis, mental health care, substance abuse treatment, or other professional advice by legal, medical, or other qualified professional and that it is the Client’s exclusive responsibility to seek such independent professional guidance as needed. If the Client is currently under the care of a mental health professional, it is recommended that the Client promptly inform the mental health care provider of the nature and extent of the coaching relationship agreed upon by the Client and the Coach.
Confidentiality.
You have the right to confidentiality and privacy by the Coach.
Confidentiality, Generally. The Coach will keep Your health information private and will not disclose Your health information unless You have provided written authorization, or as required by law or regulation. The Coach will not permit unauthorized access to Your health information. Access to Your health information by Coach will be limited to the minimum necessary for business purposes. Your information will be safely stored, safeguarded, and disposed of in accordance with the Coach’s internal policies. The Coach is not responsible for unauthorized access of Your health information if You voluntarily made Your health information available for viewing by third parties online (for example on social media).
Business Confidentiality. The Coach’s Services, Program, original materials, business information and materials used by the Coach with permission from the original author or owner (collectively referred to as “Materials”) provided to You are for Your individual use only and are a single-user license. Materials are copyrighted and shall remain the sole property of the Coach or the original author or owner. You are not authorized to use any Materials for Your business purposes. You may not sell or distribute Materials. You agree (1) to not infringe on any copyright, patent, trademark, trade secret or other intellectual property rights, (2) that the Materials are confidential and proprietary and belong solely and exclusively to the Coach or the original author or owner, and (3) not to disclose the Materials to any person or use it in any manner other than in discussion with the Coach. Further, any violation of this Section is grounds for the Coach’s request for injunctive relief to prohibit any such violations.
Payment & Cost.
The cost for Your Sessions will be shared with You in writing prior to the beginning of Your Services. You will pay for Your Services via credit card in advance of receiving any Services. Payment will be accepted through electronic services such as PayPal, Stripe or Square. Failure to provide prompt payment in full or choosing a payment plan will delay the start of any Sessions.
The Coach is not set up for insurance payments or to negotiate with insurers. These Services may not be reimbursed by Your insurer. You are financially responsible for Your services and agree to pay the charges incurred by working with the Coach.
Termination.
Both Parties may terminate this Agreement at any time, for any reason upon written notice via email to the other Party. If this Agreement terminates prior to completion of the scheduled Sessions, the Client will receive a prorated refund.
General Provisions.
Counterparts. This Agreement may be executed in one or more counterparts, each of which will be deemed an original but all of which together will constitute one and the same instrument. Facsimile, PDF, or electronic signatures will for all purposes have the same force and effect as an original signature on this Agreement.
Entire Agreement & Amendment. This Agreement constitutes the entire Agreement between the Parties and supersedes all prior Agreements, communications, and writings, whether written or oral, between the Parties. The terms and conditions of this Agreement may only be amended by mutual written agreement of the Parties. No other modification, amendment or addition to this Agreement will be valid or enforceable unless in writing and signed by the Parties.
Governing Law. This Agreement will be governed, construed, and enforced in accordance with the substantive law of the State of Illinois, without regard to its choice of law provision.
Headings. The headings in this Agreement are for convenience of reference only and under no circumstances should they be construed as being a substantive part of this Agreement nor will they limit or otherwise affect the meaning thereof.
Interpretations and Severability. If any provision of this Agreement is held invalid or unenforceable, the remaining provisions and paragraphs will continue in full force and effect and will be binding on the Parties.
Waiver. The waiver by either Party of a breach or violation of any provision in this Agreement will not operate or be construed as a waiver of any subsequent breach or default of a similar nature, or as a waiver of any such provisions, rights, or privileges. Failure to insist upon full performance of the obligation or failure to exercise rights under this Agreement will not constitute a waiver as to future defaults or exercise of rights.
Nondiscrimination. The Parties agree in the performance of this Agreement they will not discriminate or permit discrimination against any person or group of persons on the grounds of race, color, sex, religion, national origin, or any other protected class in any matter prohibited by federal or state laws.