1. Description of Services
I, the undersigned client, understand that the therapeutic and coaching services provided by Integrating Mind, Body and Spirit are intended to support personal growth, development, and overall well-being. These services may include, but are not limited to, counseling, life coaching, mental health support, and guidance in achieving personal or professional goals.
2. Nature of the Services
• I understand that the services provided are not a substitute for professional medical advice, diagnosis, or treatment.
• I acknowledge that Integrating Mind, Body and Spirit is not a licensed medical professional, psychologist, psychiatrist, or other licensed healthcare provider unless otherwise stated in the provider’s qualifications.
• I understand that the services are intended for educational, motivational, and informational purposes only.
3. Confidentiality
• I understand that all information shared during the sessions will be kept confidential, except in cases where there is a legal obligation to report (e.g., imminent harm to self or others, abuse or neglect of a minor, elder, or dependent adult).
• I acknowledge that confidentiality has its limits, and that information may be disclosed if required by law.
4. Risks and Benefits
• I understand that therapeutic and coaching services may bring up emotions or memories that can be distressing.
• I acknowledge that progress in therapy or coaching is individual and that there is no guarantee of specific outcomes or improvements.
• I agree to take responsibility for my own health, well-being, and actions during and after the sessions.
5. Voluntary Participation
• I understand that my participation in these services is voluntary and that I may choose to terminate services at any time.
• I understand that I can refuse to participate in any exercises, techniques, or suggestions provided during the sessions.
6. Financial Agreement
• I agree to pay the fee of $_150.00___________ per session.
• I understand that payment is due at the time of service unless otherwise arranged.
• I acknowledge that cancellations must be made at least 24 hours in advance to avoid a cancellation fee of $150.00, the hourly rate.
7. Release of Liability
• I hereby release, waive, and discharge Integrating Mind, Body and Spirit from any and all liability, claims, demands, or causes of action that I may have now or in the future related to the services provided.
• I agree that I am fully responsible for my actions, decisions, and well-being during and after the services provided.
8. Acknowledgment and Consent
By signing this waiver, I acknowledge that I have read, understood, and agree to the terms outlined above. I understand that I have the right to ask questions about the services provided and to seek clarification on any part of this document. I voluntarily agree to participate in the therapeutic and coaching services offered by Integrating Mind, Body and Spirit.