Life Coaching Agreement
Therapeutic Life Coaching Disclaimer & Waiver
Any therapeutic coaching services and/or communication, email or otherwise, delivered by Sherri Siegel/Sherri Siegel Life Coaching, (your “Coach”), as well as information provided is to assist you with discovering and changing the negative thought patterns and behaviors that you have identified. However, coaching is not professional mental health care or medical care. If at any time before or during coaching sessions, we find it difficult to proceed, we will stop work attempt to identify the issues. At this point we will determine if we should stop, pause or go on. If you need to stop or pause I can provide a list of appropriate referrals to assist with licensed mental health assistance. After working with them, we feel that you are ready to begin coaching again, we will resume our coaching sessions. Coaching may augment your therapy, but the work of coaching is meant to be done when major emotional and psychological wounds are already in the process of healing or healed.
I understand that the coaching services I will be receiving from my Coach are not offered as a substitute for professional mental health care or medical care and are not intended to diagnose, treat or cure any mental health or medical conditions. I also understand that my Coach is not acting as a mental health counselor or a medical professional.
I understand that coaching is, at present, an unregulated industry and that my Coach is not licensed by any state licensing board.
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, psychotherapy, psychoanalysis, mental health care or substance abuse treatment, and I will not use it in place of any form of therapy.
I understand that my Coach has extensive background, training and education in Professional Counseling, however, if it is discovered that there are issues that are unresolved diagnosis from previous counseling relationships or new issues arise I will be referred to an appropriate mental health professional.
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 my Coach will protect my information as confidential unless I state otherwise in writing. If I report child, elder abuse or neglect or threaten to harm myself or someone else, I understand that necessary actions will be taken and my confidentiality agreement is limited in this capacity. Furthermore, if my Coach is ordered by a court to provide information or to testify, she will do so to the extent the law requires.
I understand that the use of technology is not always secure and I accept the risks of confidentiality in the use of email, text, phone, Skype and other technology.
I understand that coaching is not medical, mental health, or spiritual advice. The information contained in this website, social medias or provided through the blogs, e-mails, videos, programs, services or products is not intended to be a substitute for professional medical advice, diagnosis or treatment that can be provided by your own physician, nurse practitioner, physician assistant, therapist, counselor, mental health practitioner, licensed dietitian or nutritionist, spiritual counselor, or any other licensed or registered health care professional. Do not disregard professional medical advice or delay seeking professional advice because of information you have read on from Sherri Siegel Life Coaching and/or Sherri Siegel. Do not stop taking any medications without speaking to your physician, nurse practitioner, physician assistant, mental health provider or other health care professional. If you have or suspect that you have a medical or mental health issue, contact your own health care provider promptly. We are not providing health care, medical or nutrition therapy services or attempting to diagnose, treat or cure in any manner whatsoever any physical ailment, or any mental or emotional issue, disease or condition. Rather, we serve as coaches, educators, mentors and guides who help you reach your own life growth goals.
I hereby release, waive, acquit and forever discharge my Coach, any agents, successors, assigns, personal representatives, executors, heirs and employees from every claim, suit action, demand or right to compensation for damages I may claim to have or that I may have arising out of acts or omissions by myself or by my Coach as a result of the advice given by my Coach or otherwise resulting from the coaching relationship contemplated by this agreement. I further declare and represent that no promise, inducement or agreement not expressed in this document has been made for me sign this agreement.
Relationship to above: