Dear Coaching Client,

I coach my clients by asking questions and listening carefully to what you tell me, jointly developing relevant homework, identifying your resources (experiences and qualities), creating strategies to overcome blocks to success, working toward a high degree of self-care, and identifying your values and vision. A key aspect of the coaching relationship is on developing appropriate action steps to help you move toward your goals and dreams. Although there are no guarantees on the outcomes from coaching, most people report significant progress on their goals.

Coaching is not therapy. Although I am a trained psychotherapist, I do not engage in the practice of psychotherapy with my coaching clients. If issues arise that are best dealt with in a therapeutic context, I will refer you to an appropriately trained licensed therapist. In entering into the coaching relationship, and signing this agreement, you are agreeing that if any mental health difficulties arise during the course of the coaching relationship, you will notify me immediately so I may provide you with appropriate referrals.

We will agree on a standard time for our telephone conversations. Once that time is established, it will be reserved for you. If you need to cancel an appointment, please provide at least 24-hour notice, or you will be charged for the appointment. My fees are $300 for four 30 minute $450 for four 45 minute $600 for four 60 minute coaching appointments. However, additional appointments can be scheduled.

The information you share with me will remain strictly confidential unless (1) you give specific permission to release the information, or (2) I am required to release the information by law. Exceptions to confidentiality include information about intent to seriously harm an individual, child abuse, and elder abuse. Be aware that privilege may not apply to coaching; in other words, coaching records may be able to be subpoenaed. Some means of communications, such as wireless telephones and email, may not be secure from eavesdropping, so if you agree to their use you are indicating your agreement to utilize a communication medium that may not be confidential.

Coaching usually leads to improvements and positive changes in one's life. We will discuss the pros and cons of coaching together.  I believe that each of my clients is unique, creative, and responsible for moving their own life forward. I look forward to working with you.

Sincerely, C.P. Kelly bass, PhD.

I fully understand and agree to the above document

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