You just made an extraordinary commitment to your health and wellness. Over the next several months we will work together to accomplish the goals you set into existence for yourself and your life.
The Program in which you are enrolling will include the following:
- Two 60-minute appointments each month for six months, for a total of 12 sessions which will include a discussion of your progress, recommendations, and a full set of notes.
- A variety of handouts, recipes, book recommendations, food samples, and other materials.
During sessions we will determine attainable goals you want to achieve and formulate action plans. As your coach, I will support you by providing guidance and encouragement and hold you accountable to your plan. Since most of this program occurs outside of our sessions, the results are up to you.
As your Coach, I will honor your schedule by being on time with sessions, I will not keep you waiting or keep you longer than planned. Each session will end 60 minutes after the scheduled start time. I ask that you, in turn, honor my schedule by being on time.
Please read and sign the following agreement:
I am committed to my own personal health and wellness.
With this commitment I vow to:
- Be coachable.
- Be open to new foods, concepts, and exercises.
- Eat nourishing foods according to the guidance of my Health Coach.
- Exercise according to the guidance of my Health Coach.
- Create a healthy balance between work and play.
- Give gratitude for the relationships in my life.
- Listen to my body’s wants and needs.
- Strategically deal with the stressors in my life.
Each session will end 60 minutes after the scheduled start time. I will honor the prescribed schedule, ending and starting on time. If a need arises where I must cancel or reschedule the appointment, I will do so 24 hours in advance; otherwise, I will incur a cancellation fee of $50.
I understand that the cost of the Program is $60 per session ($120/month) for
six months. Payments of $60 are due at the conclusion of each session. The payment method will be discussed with my Health Coach. *Pay-In-Full option discounted 5% for total payment of $684.00.
I understand that information shared is private and will not be shared with any third party unless compelled to do so by law.
I understand that the role of the Health Coach is not to provide health care, medical or nutrition therapy services; or to diagnose, treat or cure any disease, condition or other physical or mental ailment of the human body. Rather, the Coach is a mentor and guide who has been trained in holistic health coaching to help clients achieve their health goals by helping clients devise and implement positive, sustainable lifestyle changes.
I understand that the Coach is not acting in the capacity of a doctor, licensed dietician-nutritionist, psychologist or other licensed or registered professional, and that any advice given by the Coach is not meant to take the place of advice by these professionals. If I am under the care of a health care professional or currently use prescription medications, I should discuss any dietary changes or potential dietary supplement use with my doctor and should not discontinue any prescription medications without first consulting my doctor.
I have chosen to work with the Coach and understand that the information received should not be seen as medical advice and is not meant to take the place of seeing licensed medical professionals.