Microsoft Word - OAX Life Coaching Disclaimer & Waiver.doc.docx

All coaching services and communication email or otherwise, delivered by OAX

Life Coaching as well as information on this website OAXLifeCoaching.com are

meant to help you identify the areas in your life and in your thinking that may be

standing in your way. However, coaching is not professional mental health care

or medical care. If you feel psychologically stressed to the point that it is

interfering with your ability to function, please have the courage to seek the

help you need in the form of a professional counsellor. Coaching may augment

your therapy, but the work of coaching is meant to be done when major

emotional and psychological wounds are already healing or healed.

In that spirit, by purchasing coaching services from your Coach, you confirm

that you have read and agreed to each statement and that you wish to

proceed:

• I understand that the coaching services I will be receiving from my Coach are

not offered as a substitute for professional mental health care or medical care

and are not intended to diagnose, treat or cure any mental health or medical

conditions. I also understand that my Coach is not acting as a mental health

counsellor or a medical professional.

• I understand that coaching is, at present, an unregulated industry and that my

Coach is not licensed by any internationally recognised regulator. I also

understand that for all legal purposes, the services provided by my Coach will

be considered to be provided from any remote location worldwide or otherwise

in the United Kingdom.

• I understand and agree that I am fully responsible for my well-being during my

coaching sessions, and subsequently, including my choices and decisions.

• I understand that coaching is not a substitute for counselling, psychotherapy,

psychoanalysis, mental health care or substance abuse treatment, and I will not

use it in place of any form of therapy.

Coaching Disclaimer & Waiver!

• I understand that all comments and ideas offered by my Coach are solely for

the purpose of aiding me in achieving my defined goals. I have the ability to

give my informed consent, and hereby give such consent to my coach to assist

me in achieving such goals and aims.

• I understand that to the extent our work together involves career or business, my

Coach is not promising outcomes included but not limited to increased

clientele, profitability and or business success.

• I understand that my Coach will protect my information as confidential unless I

state otherwise in writing. If I report child, elder abuse or neglect or threaten to

harm myself or someone else, I understand that necessary actions will be taken

and my confidentiality agreement limited in this capacity. Furthermore, if my

Coach is ordered by a court to provide information or to testify, they will do so to

the extent of that the law requires.

• I understand that the use of technology is not always secure and I accept the

risks of confidentiality in the use of email, text, phone, Skype and other

technology.

• I hereby release, waive, acquit and forever discharge my Coach, any agents,

successors, assigns, personal representatives, executors, heirs and employees

from every claim, suit action, demand or right to compensation for damages I

may claim to have or that I may have arising out of acts or omissions by myself

or by my Coach as a result of the advice given by my Coach or otherwise

resulting from the coaching relationship contemplated by this agreement. I

further declare and represent that no promise, inducement or agreement not

expressed in this agreement has been made to me to sign this agreement. This

agreement shall bind my heirs, executors, personal representatives, successors,

assigns, and agents.

OAX Life Coaching Contract / Agreement

Client Name: ___________________________________________________ Date: _______________________

This agreement, between coach and the above-named client will begin on _________________ and will continue for a period

of: Days: ___________Weeks: ___________Months: ___________ ending on: ___________.

Investment

There is no fee for the initial `Intake` meeting and the investment for the ensuing meetings is;

• £ _____________/ $ ______________.

These fees will be paid in advance of the sessions, or on a monthly basis at the discretion of the coach.

Alternatively, this is a ____________ session package for a period of _______ weeks for __________ minutes per session.

Additional appointments can be scheduled as needed.

If you need to cancel an appointment, please provide at least 24 hours’ notice or you will be charged for the

appointment.

Services

The services to be provided by the coach to the client are face-to-face or telephone

coaching, as agreed jointly with the client. Coaching may address specific personal

life struggles, business issues, or general conditions in the client's life or profession. Other

coaching services include values, thought storming, identifying action plans, examining

modes of operation in life, asking clarifying questions, and making empowering

requests or suggestions for action. Additionally, the client may be asked to reflect on

difficult topics or situations which may result in an expression of emotions.

Throughout the working relationship, the coach will engage in direct and personal

conversations. The client understands that successful coaching requires a co-active

collaborative approach between client and coach. In the coaching relationship, the

coach plays the role of a facilitator of change, but it is the client's responsibility to enact

or bring about the change by their own action.

If the client believes the coaching is not working as desired, the client will communicate

this with the coach as soon as possible and the coaching strategy will be restructured

to address the client’s desired outcome of coaching. The client understands that not

all coaching methods and mediums all work for all clients and a course of trials may be

required in order to find the best solutions.

You are very much encouraged to talk more with the coach as to receive a better

understanding of what coaching is about and how to get the most out of it.

Prior History

The client also agrees to disclose details of the past or present psychological or

psychiatric treatment. Coaching and counselling are not the same. Likewise, therapy

and other modes of professional or medical psychological examination shall not be

considered equivalent to coaching.

I am not a registered psychologist or psychiatrist, nor a licensed therapist. I do not

engage in therapy with my coaching clients. In entering into the coaching relationship,

and signing the agreement, you are agreeing that if any mental health difficulties arise

during the course of the coaching relationship, you will notify me immediately so that I

can discuss with you an appropriate referral plan of action.

Confidentiality

All information about the coach/client relationship will remain strictly confidential

except in very rare circumstances where decreed by law; i.e. where the court might

issue an information request / subpoena for the file or information.

If you wish for me as your coach to speak to someone outside our interactions, you

need to give me written permission (original letter, fax or email) to do so. Exceptions to

confidentiality of course relate to circumstances such as intent to seriously harm

someone, child abuse, thoughts of suicide etc. Otherwise, all remaining information is

kept strictly confidential.

It is also important to note that in some situations, it is important to be aware of the use

of technology in that for some clients, there is a risk in using certain media such as the

internet, mobile phones and cordless phones. If you use these to communicate with

me, then I will assume that it is appropriate to continue to do so in my interactions with

you.

Termination

The client has the option to terminate the coaching agreement within (3) days of

signing the contract, and will receive a refund on all payments. Otherwise, the client

agrees to coaching for the duration of the contracted period.

Our signatures on this agreement indicate full understanding of the agreement with the

information outlined above.

Coaching Client Date___________________________________________

Personal Coach Date___________________________________________

Release of Liability

Life Coaching is a service that provides personal coaching to specific individuals

and/or groups. The client is aware that coaching is in no way to be construed or

substituted as psychological counselling or any other type of therapy or medical

advice. I will at all times exercise my best professional efforts, skills and care of ensuring

my client is coached to meet their life coaching aims and goals, the client understands

and acknowledges the coach will not be liable legally or otherwise, for the actions the

client may or may not undertake as a result of the life coaching sessions. No

assumption of responsibility is made, or given, and the client requesting such advice

agrees not to hold OAXLifeCoaching (Provider) responsible or liable in any form or

fashion, for such actions taken of their own accord. The method and process by which

this advice and direction is given in whatsoever, written or verbal, constitutes an

agreement or liability on the part of the provider and is acknowledged to be different

in many ways than clinical and medical counselling.

You (the client) agree that using any of these life coaching services are entirely at your

own risk. Life coaching services are provided "as is", without warranty of any kind, either

expressed or implied, including without limitation any warranty for information services,

coaching, uninterrupted access, or products and services provided through or in

connection with the service. This service is requested at the client's own choice and

with inherent singular responsibility. Any actions or lack of actions, taken by the client of

such advice is done so solely by choice and responsibility of the client and is

neither the responsibility nor liability of OAXLifeCoaching. The client takes full

responsibility in the decisions they make after being coached as well as the

consequences. The client enters into coaching with full understanding that they

are responsible for creating their own results. Periodically, OAXLifeCoaching

may provide links to other web sites or written print material which may be of

value, interest and convenience to you. This does not constitute endorsement

of material at those sites or any associated organisation product of service. It is

the responsibility of the user to make their own informed decision about the

accuracy of the information at those sites and print material including their

privacy policies. In no event shall OAXLifeCoaching (Provider) be liable for any

incident or consequential damages resulting from use of the material.