• Rita Maureen Wellness (NBC-HWC)

    Assessment + Relationship Agreement
  •  -
  • Medical Disclaimer: Health and Wellness Coaching is NOT a substitute for medical guidance or psychotherapy. If you have a serious concern about your health (both physical and mental) that warrants medical attention, please see a qualified health care provider. Health and Wellness Coaching should always be used as a supplement and for fulfillment of your health and wellness goals. Health coaches are not here to give advice, prescribe a plan, or tell their clients what to do. While health coaches may be medical professionals, their function is solely that of health coach.  This means that although a health coach may know a lot about health, in this role, their greatest expertise is in the process of sustainable change. Coaches serve as a guide in the client’s journey. The focus is not on disease treatment but rather, the focus is on improving one’s quality of life. By signing this form, you are engaging in Heath and Wellness Coaching with Rita Thompson on the basis of your voluntary consent.

  • Cancellation/Refund Policy: 24-hour notice is requested for cancellation of a coaching session. “No-shows” unfortunately will not be refunded. There are no refunds offered for sessions/session packages, however, the sessions never expire if client wants to use at a later time.

  • Confidentiality & Privacy: This coaching relationship, as well as all information (documented or verbal) that the Client shares with the Coach as part of this relationship, is bound to confidentiality by the International Consortium for Health & Wellness Coaching Code of Ethics. The Coach agrees not to disclose any information pertaining to the Client without the Client’s written consent. The Coach will not disclose the Client’s name as a reference without the Client’s consent. Confidential information does notinclude information that the Coach is required by law to disclose.

  • Client Responsibilities

    As the client, I agree to:


    1. Honor my scheduled session times and will be on time for each session.  I will meet in a quiet place where I have the freedom to share honestly and freely.

    2. Be motivated and committed to taking action on my health and wellness goals. I will create the time and energy to participate fully in the program.

    3. Communicate honestly, even if what I say is “I don’t want to talk about that.”

    4. Tell my coach if the process is not working for me, or I need something else.

    5. Understand and agree that I am fully responsible for my physical, mental and emotional well-being during my coaching calls, including my choices and decisions.

  • Coach Responsibilities

    As your coach, I agree to:


    1. Abide by the National Board for Health & Wellness Coaching (NBWHC) ethics and standards of behavior that can be found here:  https://nbhwc.org/wp-content/uploads/2019/04/FINAL-Code-of-Ethics-4_15_19.pdf

    2. I will be fully present throughout the sessions and devote my time, thoughts, and energy to you during our coaching sessions.

    3.  Provide encouragement, support, and a space where your client may explore his/her own thoughts, motivations, and decisions.

    4. Brainstorm possibilities to promote discovery of new insights.

    5. Be consistently supportive of the client as a person and as the one who holds the vision. 

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