Welcome:

Thank you for joining [Insert Business Name] on your journey towards a better relationship with food, mind, and body! I am so happy you have chosen to work with us for your Nutrition Coaching needs. We are committed to helping you reach your highest goals and want you to have the best possible experience during our coaching time together.

In this agreement I have included information regarding our future work together. I ask that you read, sign and date this form to show that you agree to abide with the guidelines outlined within it. Should you have any questions or need more clarification, please do not hesitate to contact me.

Services Provided:

[Insert Business Name] (further referred to as Coaching in this document) is a respectful mixture of inquiry, conversation, listening, teaching points, experimentation, exploration and well chosen action steps. It's designed to help you reach your highest goals, to properly evaulate and re-adjust your goals as necessary, and help you have an empowered relationship around food, mind, and body.

The Role of the Coach:

The role of the coach is to assist with the improvement of eating challenges such as weight, overeating, binge eating, body image, chronic dieting, and nutrition related health concerns such as digestion, fatigue, mood, cognition, immunity and more. Coaching services are not to be construed as, or a replacement for therapy, legal advice, or medical advice. If either of us recognizes that you have an issue that would benefit from medical or therapeutic intervention, we will do our best to refer you to the appropriate resources.

Responsibility:

Ultimately, the coaching relationship is about you, the client, taking full responsibility for your actions, and your life. You enter into coaching with the understanding that you are responsible for creating your own decisions and results. You agree not to hold the coach liable for any outcomes resulting directly or indirectly from the coaching process.

Honesty:

We will do our very best to be honest and straightforward during our work together. If there is anything that is not satisfactory for you about our work together, please let us know immediately so that we can take steps to make the appropriate corrections. We encourage you to honestly tell us what is going on for you. If we ever say or do something that upsets you or doesn't feel right for you, please bring it up during our time together. Honesty and trust are critical for our success in this work together. We want our time together to be an open and safe place in which you can come with confidence.

Cancellations:

All sales are final. No refunds for services rendered will be given. Contact [Insert Admin Email] for further information.

Confidentiality:

Confidentiality is important to us. We will keep all information exchanged between us confidential. We will not disclose any information that you share with us with anyone else unless: 1) We believe you are at risk of being of danger to yourself or others, 2) when required by law, or 3) you have given prior written permission.

Payment Policy:

Your payment may be made by credit card, debit card, or bank routing and account numbers.

Terms:

This contract is valid for 6 months worth of coaching services. We allow one (1) 30-day pause in the case of an emergency.

At the conclusion of your 6 month term, we will move to a month to month agreement at $350/mo. You may cancel at anytime with thirty (30) days written notice to [Insert Admin Email]

Insurance:

Coaching is not like the practice of medicine, therapy, or other tradtional modalities and for this reason, Coaching is not covered by health insurance.

Referrals:

Our service fills in large part by referrals. If you are benefiting from our relationship, I'd appreciate it greatly if you would suggest our services to appropriate friends, family and colleagues. Additionally, if you would be willing to offer your testimonials to be used on my website, that would be of tremendous help.

Your signature on this document is acknowledgement that you have received, read and agree with this notice of our Client Agreement.