top of page

Consent Form - Coaching

Please fill out the following consent form prior to first session 

Terms & Conditions:

I acknowledge that Coaching is not professional mental health care or medical care.


If I feel psychologically stressed to the point that is interfering with my ability to function, I will seek the help I need in the form of a professional counsellor. Coaching may augment my 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 agree 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 the province of Alberta, or country of Canada or any other jurisdiction.


I also understand that for all legal purposes, the services provided by my Coach will be considered to be provided in Alberta, Canada and that the Courts of Alberta shall have exclusive jurisdiction to hear any complaint, demand, proceeding or cause of action, whatsoever arising from or in connection with the coaching services or from any other aspect of the professional relationship between myself and my Coach.


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.


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.


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, she will do so to the extent 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, messenger, WhatsApp messaging, Zoom, other online conferencing 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.

48 hour cancellation/reschedule period.  All amounts owed must be paid within 24 hours of the scheduled session to maintain your spot.

Please note: For clients under 18 years old, a parent or legal guardian must sign

bottom of page