Coach and Client Agreement Required Beth Shapiro – Coaching Welcome! I am pleased to be working with you as your health and wellness coach. Please familiarize yourself with the information contained in this agreement. If you have questions regarding these guidelines we can discuss them further. Please know at any time during our working relationship you can send me an email at bethshapiromfa@gmail.com if you have any issues with the work we are doing together or questions of any nature at all. Healthy Change Coaching Role; As your coach and accountability partner, I will do my best to help motivate you and help you define changes you want to make. Whether it is stress management, resilience, creativity, sleep support, healthy nutrition, mindfulness, academic or employment, or lifestyle goals, I am willing to collaborate with your therapist, doctor, and/or professional to help you identify the issues which are present so you can design daily habits to improve your overall wellness. I will do my best to help you find success, celebrate with you, and support your healthier life. Our Commitment; As your coach, I will support you as you make significant changes. The changes will sometimes happen fast and other times take weeks or months. Because it can take time to set goals and find strategies I request a 6-week commitment for you’re the coaching work we will do together. Services provided; The coaching sessions generally take place once a week for 50 minutes or every other week for 50 minutes with a 15-minute check-in during the intervening week. Your first session will likely be 60-75 minutes in length to allow us to get to know one another and set a positive direction for the work we will do together. Please think about what you want out of our first session and also, what you may want from the successive sessions we spend together. Changes/Cancelations; After our initial session, our agreement includes one 50 minute session each week, unless we agree that our sessions will be scheduled every other week. We will establish a consistent time that works well for both of us. Please text me to cancel any scheduled appointment. Sessions not canceled at least 24 hours in advance via- text message and confirmed by me via text message will be billed at half the standard change for that appointment. The Coaching Relationship; Throughout the working relationship, the coach will engage in direct and personal conversations. The client can count on the coach, to be honest, and straightforward in asking questions and making requests. The client understands the power of the coaching relationship is granted by the client. The coaching relationship is professional and strictly confidential. Information regarding the treatment plan, goals, and progress may be shared only with professionals which the client specifies in writing in advance and are given to the coach. Issues or Problems; If ever our coaching sessions or my professional coaching is problematic in any way, please bring it to my attention in writing at my email, BethShapiroMFA@Gmail.Com . As your coach, I am committed to you being powerful, successful and to you having the life you want. As your coach I am not a healthcare or therapy provider. The Client agrees to hold the Coach harmless for any guidance, treatment suggestions, health and wellness plans, information or suggestions that occur during Coaching relationship. Client Agreement; I understand, I am fully responsible during and in between my session for my actions and decisions, including my choices and decisions. I understand I can choose to discontinue coaching at any time with one week's notice. I recognize that coaching is not psychotherapy or any form of medical treatment. Professional referrals will be given if needed or you may be referred back to your own doctor to a nutritionist, therapist, educational consultant, or other professional if needed. I understand the healthy change coaching is a relationship I have with my coach that is designed to facilitate personal exploration and movement towards greater health and wellbeing. I understand that we will work tougher to determine the lifestyle changes needed and to develop a story/plan for achieving those goals. I understand that coaching is a comprehensive process that may involve all areas of my life. Including work, finances, health, relationships, education, and recreation. I acknowledge that deciding how to handle those issues and implement my choices is exclusively my responsibility. I understand that healthy change coaching does not treat mental disorders as described by the American psychiatric association. I understand that healthy change coaching is not a substitute for or any form of therapy. If I am currently or begin working with a therapist or physician during our coaching relationship I will let all parties know I am working with a health and wellness coach. To determine if coaching is advisable in conjunction with all professionals I am working with. I understand that information will be held in strict confidence and if and only if i am concerned except as required by law. I understand that healthy change coaching is not to be used and entered into in lieu of professional advice. I will seek professional guidance for legal, medical, financial, business, social or other matters. I understand that all decisions in these areas are exclusively mine, and i acknowledge that my decisions and my actions regarding them are fully my responsibility. I have read and agree with the t4ext above. By filling out the form, ( which includes the text above) I the client agree fully with its contents and to begin coaching and understand my responsibilities. BETH SHAPIRO- BFA, MFA, MA RESILIENCEANDCREATIVITY.COM BETHSHAPIROMFA@GMAIL.COM Phone number - 484-278-1665