MDK Holistic Wellness Contract
  • MDK Holistic Wellness Contract

  • LIABILITY WAIVER & COACHING AGREEMENT

  • Format: (000) 000-0000.
  • This agreement, between coach Maryam Yama Gidado and   *   *   will begin on   Pick a Date   Plan will continue for a period of      ending on   Pick a Date   

  • **SERVICES PROVIDED: (Choose all that apply)**
                    *                 
      
    The services provided include face-to-face or virtual coaching sessions via Zoom, addressing specific personal goals, wellness successes, or general life conditions. Services may also include value clarification, brainstorming, action planning, examining life modes, and making empowering requests or suggestions for action. The coach acts as a facilitator of change, but the responsibility for enacting change lies with the client.

  • **CONFIDENTIALITY AND PRIVACY:**
    All information about the coach-client relationship will remain strictly confidential, except as required by law. Written permission is necessary for the coach to communicate with others outside of this relationship. Be mindful of the risks associated with using technology for communication.

    **MEDICAL DISCLAIMER:**
    It is strongly recommended that you obtain a physical examination from a healthcare provider before participating in any physical exercise, nutrition coaching, or mindfulness sessions provided by MDK Holistic Wellness. Participation in these activities is entirely at your own risk, and you accept full responsibility for any health changes or adjustments you make.

    **ASSUMPTION OF RISK:**
    By engaging in the activities offered by MDK Holistic Wellness, you acknowledge and assume all risks of injury, illness, or death. You also assume responsibility for any personal property loss. Participation is voluntary, and you agree to proceed with full awareness of these risks.

    **DIETARY CHANGES:**
    Recommendations made regarding diet, including the use of food supplements, weight reduction, and body-building enhancement workouts, are entirely your responsibility. It is advised to consult a physician before making any dietary changes.

    **RELEASE OF LIABILITY:**
    You hereby release and discharge Maryam Yama Gidado and MDK Holistic Wellness from any claims or causes of action, waiving the right to legal action for personal injury or property damage. This release extends to negligence, where not prohibited by law. Should any part of this release be deemed invalid by a court, the remainder shall remain in full force and effect.

    ---

    **COACHING RELATIONSHIP:**
    This agreement establishes a Professional-Client relationship between Coach Maryam Yama Gidado and the above-named client, commencing on the specified start date and continuing for a period of chosen plan. The relationship is designed to facilitate the creation and development of personal, professional, or fitness goals, along with strategies for achieving those goals.

    **CLIENT RESPONSIBILITY:**
    As a client, you are fully responsible for your physical, mental, and emotional well-being during coaching sessions, including all choices and decisions. You are aware that you can choose to discontinue coaching at any time.

    **COACHING SCOPE:**
    Coaching is a comprehensive process that may involve all areas of your life, including work, finances, health, relationships, education, and recreation. Decisions regarding how to handle these issues and incorporate coaching into them are exclusively your responsibility.

    **COACHING LIMITATIONS:**
    Coaching does not involve the diagnosis or treatment of mental disorders as defined by the American Psychiatric Association. It is not a substitute for counseling, psychotherapy, psychoanalysis, mental health care, or substance abuse treatment. If you are currently under the care of a mental health professional, you confirm that you have consulted with them about the advisability of working with a coach, and they are aware of your decision to proceed.

    **TERMINATION AND EXTENUATING CIRCUMSTANCES:**
    Coaching will continue for the duration of the contracted period. Under extenuating circumstances, the agreement may be postponed for up to 6 months. All fees are non-refundable. Refunds can be negotiated on a case to case basis that are out of the control of the client. 

    **PRIOR HISTORY AND MENTAL HEALTH:**
    Clients agree to disclose any past or present psychological or psychiatric treatment. If mental health difficulties arise during the coaching relationship, immediate notification to the coach is required to discuss appropriate steps and potential referrals.

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