Coaching disclaimer and waiver Please read and initial each statement below Name * First Name Last Name I certify I am over the age of 18 * I have voluntarily elected to receive coaching and the nature and purpose of this service have been explained to me. * I understand that coaching can be used to help me focus and achieve the outcomes I desire including but not limited to improved confidence, heightened self-awareness, better relationships, clarity of purpose, goal attainment, balance, and improved communication. * Based upon the information that I provide to my Coach and the specifics of my situation, my Coach will provide recommendations to me regarding coaching. * I understand that I am a partner in the coaching process and that I have the right to agree or disagree with any of my Coach's recommendations. * I recognize there are no guaranteed results and that independent results are dependent upon many factors including but not limited to networks, mindset, lifestyle, and habits. I understand that there is a possibility I may require further coaching to obtain the expected results at an additional cost. * I understand that this agreement is for coaching, not therapy. * I understand that coaching cannot deal with issues such as depression or anxiety and that these issues must be dealt with by a physician or licensed mental health professional. * I understand that my Coach will not diagnose or treat any medical or psychological conditions. * I understand and agree that I am fully responsible for my well-being during my coaching sessions, and subsequently, including my choices and decisions. I understand that coaching is not a substitute for counseling, coaching, psychoanalysis, mental health care, or substance abuse treatment, and I will not use it in place of any form of therapy. * By signing this agreement, I agree that I understand the difference between a coach and a therapist and that I will get appropriate professional help for any mental health issues. * I understand that coaching is, at present, an unregulated industry and that my Coach is not licensed by the State of Utah. * I understand that all comments and ideas offered by my Coach are solely for the purpose of aiding me in achieving my defined goals. I have the ability to give my informed consent, and hereby give such consent to my Coach to assist me in achieving such goals. * I understand that to the extent our work together involves career or business, my Coach is not promising outcomes included but not limited to increased clientele, profitability, or business success * I understand that because coaching is not a medical treatment, insurance will not cover the cost. * I understand that because coaching is not a medical treatment, insurance will not cover the cost. * I understand that either I or my Coach may choose to discontinue the coaching relationship at any time. If I decide to stop coaching, I will notify my Coach. Similarly, if my Coach determines that continuing the coaching relationship is not in the best interest of either party, they will notify me in a timely manner. * I understand that because coaching is not a medical treatment, insurance will not cover the cost. * Thank you!
