Name_________________________________________________________
The fee is $300.00 per couple session and $250 per individual session. A session runs between 40 and 50 minutes. The client pays coaching fees in advance of the session and logs on to the virtual office at the scheduled time.
GENERAL INFORMATION:
1. As a client, I understand and agree that I am fully responsible for my well-being during my coaching, including my choices and decisions. I am aware that I can choose to discontinue coaching at any time. I recognize that coaching is not psychotherapy and that professional referrals will be given if needed.
2. I understand that coaching is a relationship I have with Sarah Swenson LMHC that is designed to facilitate the creation and development of personal, professional, and possibly business goals as these relate to my neurodiverse relationship, and to help develop and carry out a strategy or plan for achieving those goals.
3. I understand that personal coaching is a comprehensive process that may involve all areas of my life, including family, work, finances, health, relationships, education, and recreation. I acknowledge that deciding how to handle these issues and implement my choices is exclusively my responsibility.
4. I understand that coaching does not treat mental disorders as defined by the American Psychiatric Association. I understand that coaching is not a substitute for counseling, psychotherapy, mental health care, or substance abuse treatment, and I will not use it in place of any form of therapy.
5. I promise that if I am currently in therapy or otherwise under the care of a mental health professional, I have consulted with this person regarding the advisability of working with a specialized coach in support of my neurodiverse relationship, and that this person is aware of my decision to proceed with coaching.
6. I understand that information will be held as confidential unless I state otherwise in writing, except as required by law.
7. I understand that certain topics may be anonymously shared with other professionals for training or consultation purposes.
8. I understand that coaching is not to be used in lieu of other professional advice. I will seek professional guidance for legal, medical, financial, business, spiritual, or other matters. I understand that all decisions in these areas are exclusively mine, and I acknowledge that my decisions and my actions regarding them are my responsibility.
Name___________________________________________________________
Signature________________________________________________________
Date____________________________________________________________