Agreement to Life Coaching:
*Due to covid-19, the mental health counseling laws and regulations are in the midst of much transition and change. Even though I have over 15 years experience in private practice as a trained therapist, Life Coaching allows me greater flexibility and ensures compliance with differing state counseling regulations.
1. Client 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 professionals and that it is the Client’s 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.
2. Life coaching is not currently a regulated industry in the state of Colorado or Texas. It will be solely the responsibility of the client to determine the effectiveness of the services rendered and the competency of the coach.
3. Life coaching assumes the mental health of the client. Life coaching is a collaborative process that is present and future oriented. It is action oriented, solution focused and encourages change. It involves accountability and commitment to growth through increased competence, commitment, and confidence. Any medical or mental health documentation will be kept for 7 years.
4. As the client, you set the agenda for these sessions and your success will largely depend upon your willingness to define goals and try new approaches. You can expect me, as your life coach, to be honest and direct, asking straightforward questions and offering challenging techniques to help you keep moving forward.
The pricing of Alpine Connection Life Coaching and Christian T. Hill, MA is based off a level of experience, expertise, and involvement in finding solutions for you and your family that go beyond the traditional 1 hour therapy model.
Christian sees a limited number clients and offers a level of a care that is relational yet assertive in finding a successful treatment plan that helps families navigate a very challenging process but which intentionally becomes more affordable over time. As the client improves there are lower price points for the client to stay involved if further care is needed although the ultimate goal is to empower a client to be fully independent through the coaching process.Cancellation – you must cancel your appointment 24 hours prior or you will be charged the full amount.
The agreed cost for life coaching will be $165.00 per session which will last for 50 minutes (an additional 10 minutes will be spent on therapy notes, referrals, and assessments), or $95 for a 30 minute session.
I understand that if total payment is not received within a 30 days, that I the client am responsible not only for the outstanding balance due, but additionally any costs incurred to Alpine Connection Counseling from collection fees and all legal fees. I understand that Alpine Connection Counseling does not accept insurance and that reimbursement is to be handled between the client and their own insurance company.
WAIVER AND RELEASE
By signing below, I assume any risk and take full responsibility and waive any claims related to any personal injury, of myself or others death or damage to personal property arising from Alpine Connection Life Coaching activities and events organized by Alpine Connection Life Coaching. I understand and confirm that by signing this WAIVER AND RELEASE I have given up considerable future legal rights. I have signed this Agreement freely, voluntarily, under no duress. My signature is proof of my intention to execute a complete and unconditional WAIVER AND RELEASE of all liability to the full extent of the law for the benefit of Alpine Connection Life Coaching, its employees, members, managers, and agents. I am 18 years of age or older and mentally competent to sign this waiver and release or I have full guardianship to consent to this waiver and release on behalf of the child named below.