Coach Donna Individual Client Agreement & Consent Form

Individual Client Agreement & Consent Form

This form serves as your official agreement to participate in individual coaching services with D. Reid Coaching, LLC.Please read each section carefully. This form outlines important terms, expectations, and legal protections for both you and your coach. You’ll be asked to acknowledge your understanding and agreement throughout the form.By completing and signing this form, you confirm that you voluntarily agree to receive coaching services and understand the nature and limitations of the coaching relationship.If you have any questions, please contact D. Reid Coaching before submitting this form.Thank you for taking this step toward your personal and professional growth.
Name*

First NameLast Name
Email*
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
I understand I am purchasing individual coaching services provided by D. Reid Coaching, LLC.I acknowledge coaching is not therapy or counseling and does not replace medical or mental health treatment.I confirm I am not seeking therapy or counseling and understand coaching is a separate service.
I understand coaching sessions aim to support personal or professional goals through guidance, strategies, and accountability.I understand session details (e.g., pricing, timing, and deliverables) will be outlined in my invoice or service outline.I agree not to disclose, copy, or distribute materials provided to me during coaching.I acknowledge that all content shared by the coach is protected by intellectual property laws.
I understand all sessions are confidential, except in cases of suspected harm, legal issues, or technology breaches.I agree not to share confidential information obtained during the coaching process.I give consent for sessions to occur via phone or video and understand the related risks.
I agree to submit payment before receiving services.I understand all sales are final and no refunds will be issued once a session is purchased.I understand that if the Coach is unable to deliver services, a partial refund may be offered at their discretion.
I understand that coaching is not a substitute for professional medical advice or treatment.I confirm I am voluntarily participating in this coaching service.I understand that any suggestions related to wellness are not intended as medical advice.I release the Coach from liability for any injuries or consequences related to my participation.
I understand the Coach may refer me to another professional if therapy or medical support is more appropriate.I understand continued participation may require signing an additional waiver if recommendations are declined.
I understand and agree that the services provided are coaching in nature and do not constitute psychotherapy, mental health counseling, or any form of licensed therapy. No therapist-client relationship is being established.I acknowledge that while the provider is a licensed therapist in the state of Minnesota, these services are provided solely in her role as a coach and are not subject to therapeutic licensure regulations.I agree that any disputes, claims, or controversies arising out of or relating to this agreement or the services provided will be resolved exclusively through binding arbitration in Minnesota, and in accordance with the laws of the state of Minnesota. I further agree to waive the right to pursue legal action for undesired outcomes if services are delivered as described.
Final Agreement

By signing below, I confirm I have read and understand the terms outlined in this agreement, and I voluntarily consent to receive coaching services from D. Reid Coaching, LLC. I understand this agreement supersedes all previous discussions and represents the entire understanding between me and the Coach.
Client Signature*

Clear
Date of Agreement *

MonthDayYear
Date
Should be Empty:

Individual Client Agreement & Consent Form

Final Agreement