I kindly request that all new clients review and indicate their
consent to the coach/client agreement.
It lays out what we each can expect from the coaching relationship
and it explains my scope of practice.
Please review and then submit the form below.
You will then see a link to a printable version of the agreement.
DANA BARRON, PHD COACHING
The following Agreement is entered into between Coach, Dana Barron, and Client. It shall be retroactive to the date of the first coaching session conducted between Coach and Client.
Agreement is indicated by completing and submitting the form at the end of this document.
Coach and Client agree to the following:
Coaching is partnership (defined as an alliance, not a legal business partnership) between Coach and Client in a thought-provoking and creative process designed to facilitate the creation/development of personal goals and to develop and carry out a strategy/plan for achieving those goals.
Client is solely responsible for creating, implementing, and maintaining his/her/their own physical, mental, and emotional well-being, decisions, choices, actions, and results arising out of or resulting from the coaching relationship, coaching sessions, and interactions with the Coach. As such, Client agrees that the Coach is not and will not be liable or responsible for any action or inaction, or for any direct or indirect result of any services provided by the Coach.
Client acknowledges that coaching does not involve the diagnosis or treatment of any mental disorder, or medical illness, syndrome, or symptom, and that coaching is not to be used as a substitute for professional medical care, advice, or treatment, or psychotherapy, psychoanalysis, mental health care, substance abuse treatment, dietetics, personal training, or other professional advice or service. Client acknowledges that it is his/her/their exclusive responsibility to seek such independent professional guidance as needed. If 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. Client agrees that if any medical or mental health questions should arise from the coaching process, he/she/they agree to consult a qualified professional before making any decision or taking any action that may affect his/her/their physical or mental health or well-being.
Client acknowledges that coaching may involve different areas of his/her/their life, including but not limited to work, finances, health, relationships, education, and recreation. Client agrees that deciding how to handle these issues, incorporate coaching principles into those areas, and implement choices is exclusively the Client’s responsibility. Coach does not and cannot guarantee the outcome of any coaching encounter or relationship.
Either Coach or Client may terminate or discontinue the coaching relationship at any time.
Sessions are conducted via Zoom or telephone. Coach and Client may also communicate between sessions by email, text message, or phone. Client acknowledges that the use of technology is not always secure and accepts the privacy risks involved in the use of email, text, phone, Zoom, and other technology.
Scheduling & Payment
Sessions are 60 minutes in length and are scheduled at the end of each session, or by phone or email. If Client is late to an appointment, the appointment will not be extended beyond the scheduled ending time. Client agrees to allow at least 24 hours’ notice for any change in a scheduled appointment. The regular session fee will apply to sessions cancelled or rescheduled less than 24 hours prior. Payment is due on the day of service and can be made by check, online via Square, or via Venmo Business Profile. Details will be provided at the first session.
Coach agrees not to voluntarily disclose any information pertaining to the Client without the Client’s written consent. Coach will not disclose Client’s name as a reference without his/her/their consent. Client acknowledges that the coach-client relationship is not considered a legally confidential relationship (like the medical and legal professions) and thus communications are not subject to the protection of any legally recognized privilege.
Except as expressly provided in this Agreement, the Coach makes no guarantees, representations or warranties of any kind or nature, express or implied with respect to the coaching services negotiated, agreed upon and rendered. In no event shall the Coach be liable to the Client for any indirect, consequential or special damages. Notwithstanding any damages that the Client may incur, the Coach’s entire liability under this Agreement, and the Client’s exclusive remedy, shall be limited to the amount actually paid by the Client to the Coach.
Client hereby releases, waives, acquits and forever discharges Coach, any agents,
successors, assigns, personal representatives, executors, heirs, and employees from
every claim, suit action, demand or right to compensation for damages he/she/they may claim to have or that may arise out of acts or omissions by Client or Coach as a result of the advice given by my Coach or otherwise resulting from the coaching relationship as defined in this agreement. Client further declares and represents that no promise, inducement, or agreement not expressed in this agreement has been made to me to sign this agreement. This agreement shall bind my heirs, executors, personal representatives, successors, assigns, and agents.
Client is not granted a license or any other right including without limitation under Copyright, Trademark, Patent or other Intellectual Property Rights in or to the Content, other than as specified in these Terms and Conditions. This applies to any materials, workbooks, activities, and tools we use together as part of the coaching relationship.