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14Questions
 The Essence of You - Coaching Client Agreement
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  • English (UK)
  • 1

    Thank you for your interest in our services.

    Before starting the coaching process, it is important to know what to expect, and to understand your rights as well as commitments. This consent form is an attempt to be as transparent with you as I can about the coaching process, so you are fully informed prior to starting your journey.

     

    The Nature of Coaching:

    • Coaching focuses on facilitating a client’s learning and growth and improving performance in a desired area(s) of life
    • Coaching can assist to motivate us to achieve our personal best in areas such as family, relationships, studies, career, fiances, health, and more…
    • Coaching is in no way to be construed as psychological counselling or therapy and I will seek to refer the Client to a qualified expert in the relevant field if appropriate

     

    The Results:

    • The Coach works with the Client to achieve the desired results
    • The Client understands that coaching results are not guaranteed and the Client is responsible for creating their own results
    • The Coaching process relies on the commitment of the Client to follow up any actions agreed during coaching sessions

     

    Permission:

    • Coaching is a permission-based activity.
    • The Client must provide the Coach with permission to coach them prior to the commencement of coaching.
    • The signing of the Coaching Agreement shall be deemed to be the provision of permission.

     

    Delivery of Coaching Services

    • Our scheduled coaching sessions will be conducted online and will be a (1) one hour duration (unless otherwise agreed)
    • You are welcome to contact me between sessions via telephone and email if required

     

    On Completion of Coaching I will:

    • Contact you in due course to find out how you are progressing;

    • Ask if you can supply a testimonial 

    • Continue to respect your right to confidentiality.

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  • 2

    About the Coach

    Melynda von Wayward (Therapist/Coach) has the following professional credentials:

    • Diploma of Counselling
    • Diploma of Life Coaching
    • Diploma of Clinical Hypnotherapy (NLP)
    • Graduate Diploma in Experiential and Creative Arts Therapy
    • Eye movement desensitization and reprocessing (EMDR)
    • Assessing and Treating Sexual Issues in Psychotherapy - Level 1
    • EFT & TFT Tapping Practitioner
    • Ho'oponopono Practitioner Certificate
    • Reiki 1 & 2
       

     

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    Coaching areas may include:

    • Women's Empowerment Coaching
    • Life Coaching
    • Relationship Coaching
    • Health and wellbeing Coaching
    • Career Coaching
    • Financial Coaching 

    Click below to see a full description of coaching 

    https://theessenceofyouholistic.com/coaching.php

    If you have any questions, please visit our FAQ page.

     

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  • 4

    Sessions

    • All Coaching sessions are scheduled by appointment and are conducted online only
    • A Teams link will be sent to you once you have made an appointment
    • Please ensure that you have a strong internet connection 
    • The initial consultation is 90 minutes in duration with each session thereafter being up to 60 minutes in duration
    • Coaching is an ongoing process and ends when the Client has reached their desired goal
    • Sessions will be every month, scheduled at a time that suits
    • It is expected that the session will begin at the agreed time.
    • Any session that begins after this time due to late client arrival for whatever reason cannot be extended beyond the agreed finish time.
    • If you do not arrive or call within 15 minutes of the agreed appointment, this will be considered a cancellation and the therapist will not be available for the remainder of the session
    • You may pay in advance or at the conclusion of each consultation
    • Paypal - credit card (Visa and MasterCard only) and bank transfer will be accepted

     

     

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  • 5

    Session Fees and Payment Methods

    • Initial consultation $150 - 1.5 hours in duration
    • Subsequent sessions $100 - Up to 1 hour in duration
    • You may pay in advance or at the conclusion of each consultation
    • Paypal - credit card (Visa and MasterCard only) or bank transfer will be accepted.
       

    Bank Transfer Details:

    Commonwealth Bank

    BSB: 064148

    Account: 00961666

     

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  • 6

    Cancellation Policy

    • If you have a scheduled appointment and you wish to cancel, please note the following cancellation fees:
    • After 3pm the day before the service or a ‘no show’ on the day) 50%
    • Prior to 3pm the day before the scheduled service - No fee charged
    • Please Note: If the therapist has to cancel a session, the session will be rescheduled at no additional charge to the client. 
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  • 7

    Confidentiality

    The Essence of You - Holistic Therapy and Coaching provides confidential and professional support to all clients who engage with our services.

    Any information shared with us is considered confidential. We cannot disclose the information to anyone without us obtaining consent from you in written form.

    In accordance with professional responsibilities and/or legislation, we may need to disclose details to other external persons in the following circumstances:

    Exceptions to Confidentiality:

    1. If you threaten harm to yourself or to another person
    2. If we believe a child or protected adult is at risk of harm or abuse

    3. If the courts instruct us to give information

    4. If you share information about a proposed act of terrorism or other illegal act

    If we feel that either you or someone else is in danger or at risk of harm I would first endeavour to discuss with you my decision for breaking confidentiality.

    However, I retain the right to break confidentiality without prior consultation with you should I consider that the urgency of the situation requires me to act immediately to safeguard the physical safety of yourself or others.

    Privacy

    Personal information gathered from you will be used for the primary purposes, as set out in our Privacy Policy. Your personal information will never be shared with a third party without your prior written permission. 

    Record Keeping

    We maintain individual client files. This will contain records of any contact, key discussion points, outcomes and other relevant information provided during consultation with you. Your client file is kept in a secured folder and your information is not shared with any members of the public or other professionals unless agreed to by you in writing.

    We retain client files for a minimum period of 15 years after completion.

    Access to your client file may be requested by you in writing.

    You will be asked to sign a Receipt of Personal Case Notes form when the information is provided to you. 

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    Questions/Concerns/Complaints

    If you have any additional questions regarding the therapy services that we offer, or if you're unhappy with the therapy progress or wish to make a complaint then please let us know immediately so that we can address your concerns as soon as possible.

    Your feedback and views are important to us.

    Feel free to contact us via email

    theessenceofyouholistic@gmail.com 

     

    Indemnity

    All responsibility for the provision of service is accepted by the Therapist - The Essence of You - Holistic Therapy and Coaching.

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  • 9

    Contact Us

    E: theessenceofyouholistic@gmail.com 

     

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  • 10

    Consent

    By filling out this informed consent form I affirm that:

    I have read the information about the Coach and the Coaching process above and have understood them. I have had the opportunity to ask questions regarding the Coaching that I will undertake as well as other information about the Coaching process and all of which have been answered by the Coach to my satisfaction.

    I understand the confidentiality agreement that is set in this informed consent form. I understand my rights as well as my responsibilities as a client to the Coaching process. Following all the understanding above, I hereby give my full consent to the foregoing Coaching process.

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