Informed consent &
Coaching agreement

Welcome!

I am delighted to welcome you to my practice! I look forward to working with you and assisting you in creating the changes you desire in your life. This document contains some important information and guidelines about my professional services and business policies. Please read it carefully and jot down any questions you might have so that we can discuss them at our next meeting. When you sign this document, it will represent an agreement between us.
 

Overview of Functional medicine health coaching Services

Functional medicine health coaching services are not easily described in general statements. It is a partnership between practitioner and client that involves education, targeted lifestyle, diet, supplementation and working through roadblocks and troubleshooting. The aim is to provide the body with everything it needs in order to heal and remove anything preventing the healing from happening. Programs are individualized. During the first 2 calls, we make an overall strategy and roadmap for your program. Keep in mind that this roadmap might change as we work together. Twice a month, we will meet to discuss the implemented changes. We cover how you feel, what changes you observed and what is the next step in your journey and to address anything that came in the way of implementing the changes. The usual program length is from 4 to 8 months although some clients with more intricate dynamics benefit from a longer partnership. The word partnership here is very important. The role of a health coach is not to diagnose, treat or be a physician. I will not ''prescribe'' any changes or supplements but rather educate you on the dynamics that are at play and, together, we will address these imbalances.

Sessions, Scheduling, and Payment

Our first few sessions will involve an evaluation of your needs. By the end of the evaluation, you will have a thorough understanding of the dynamics at play and how to start the healing process. You should evaluate this information along with your own opinion of whether you are committed and comfortable working with me. We will usually schedule one-hour sessions, once bi-weekly although longer and/or more frequent sessions are a possibility. Appointment scheduling is through agreement at the end of our calls. Payments or 240 USD are to be made monthly through PayPal or bank transfer if you are in Canada or Japan. If payment isn't made within 12 hours of the following appointment, it will be cancelled. Please let me know if you are having problems making payment online. Other payment options are available.

Cancellation and Rescheduling

Cancellation and rescheduling of your appointment can be done through email. If you must cancel an appointment, 24 hours advance notice of cancellation is required unless we both agree that you were unable to attend due to circumstances beyond your control. 

Commitment and Responsibilities

You are hiring a health coach because you want to make significant changes in your life and heal yourself. As your guide, I am responsible for the health coaching process. This means I am committed to using our session time to facilitate your education, provide guidance, advice, hold space for emotional healing, and optimal development of your personal resources and skills.  You can count on me to be compassionate, sincere, and reliable. The purpose of our interactions are to hold the focus on YOUR desired outcome and to counsel you to stay clear, focused, and positively directional. You are, however, responsible for the outcome of health coaching. Research shows that the effectiveness of our relationship determines a successful outcome. If you believe that health coaching is not working as desired, please address your concerns with me so that we can take action to return effectiveness to the health coaching relationship.

Change as a result of health coaching will happen fast and, as we work through layers, on a longer span of time. 

Fees

My health coaching fee is 240 USD per month. This includes 2 bi-weekly calls as well as support between sessions if needed. A overview email will always be sent to you after our calls. 

Contacting Me

I am often not immediately available by telephone. I recommend contacting be through email and try to answer within a 24 hours window.

Concerns

Health coaching involves a large commitment of time, money, and energy, so it is crucial you are comfortable working with me. If I ever say or do something that upsets you or doesn't feel right, don’t hesitate to bring it up in our session. You are not responsible for how I feel; that is my responsibility. I promise to be respectful in all of our interactions and request the same of you. If you have any questions or concerns, we should discuss them whenever they arise. If your doubts continue to persist, I will be happy to provide you with a referral to another practitioner.

Confidentiality

I promise that all information provided to me during our sessions will be kept strictly confidential. Your willingness to be truthful will be treated with respect, dignity, and confidence. Generally speaking, the privacy of all communication between client and health coach is protected by law, and I can only release to others information about our work together with your written consent.

 

Disclaimer

Health/Wellness coaching is not intended to diagnose, treat, prevent or cure any disease or condition. It is not intended to substitute for the advice, treatment and/or diagnosis of a qualified licensed professional. Trained and certified Health Coaches may not make any medical diagnoses, claims and/or substitute for your personal physician’s care. As your health/wellness coach I do not provide a second opinion or in any way attempt to alter the treatment plans or therapeutic goals/recommendations of your personal physician. It is my role to partner with you to provide ongoing support, education and accountability as you create an action plan to meet and maintain your health goals.