We are excited to watch your progress as you embark on private brain training coaching or brain rewiring session work with our Wired for Wellness Coaches who have been trained by us in our Applied Memory Reconsolidation methods. This agreement outlines the policies and procedures under which our Wired for Wellness coaches operate. In our experience, a thriving coach-client relationship begins with clear expectations, so please read this entire agreement before signing. IT IS REQUIRED THAT YOU HAVE SIGNED THE AGREEMENT AT LEAST 24 HOURS BEFORE YOUR FIRST WIRED FOR WELLNESS SESSION. IF YOU HAVE NOT, YOUR COACH WILL BE OBLIGATED TO RESCHEDULE FOR ANOTHER TIME AFTER YOU HAVE BEEN ABLE TO READ AND SIGN IT. Thank you for your understanding. If you have any questions or concerns, feel free to reach out to us at [email protected] or through your private messenger channel. We are happy to address them before you begin your private session.
WIRED FOR WELLNESS, LLC
BRAIN REWIRING PRIVATE SESSION COACHING AGREEMENT
Disclosure, Responsibility Statement & Client Agreement
Client: also referred to as I/My, is the signer below.
Wired for Wellness coach: also referred to as practitioner
1. SCOPE OF WORK: PRIVATE BRAIN REWIRING COACHING SERVICES.
I (the client) am contracting Wired for Wellness, LLC to provide private brain training coaching or brain rewiring sessions to me. The amount paid for services is for the time allotted during sessions, during which I have the full and complete attention of the coach. For brain rewiring session clients, a limited number of additional concerns or questions may be submitted via email and will be answered in an average and reasonable time as determined by the coach’s client load. If I, the client, need or desire interactions beyond the bounds of the paid sessions and no more than 1 brief email after a session, I can obtain it by attending a group Q&A call, booking private coaching time, or booking another brain rewiring session. Thank you for your understanding, as we try to protect and honor our Wired for Wellness coaches’ time.
I (the client) understand that I can book private brain training coaching or brain rewiring sessions with the hope of having them provided by a specific coach. However, Wired for Wellness, LLC cannot guarantee any specific coach’s availability, and their availability is subject to change at any time. Therefore, since all private sessions are prepaid, I understand that upon payment, I am agreeing to receive my private brain training coaching or brain rewiring session from one of the coaches that happens to have availability during the 3 month window in which my pre-paid session can be utilized.
I (the client) understand that this agreement is in reference to the Wired for Wellness coach’s private brain training coaching and brain rewiring session services only. If the coach happens to have training in other modalities or has other professional credentials or services available elsewhere, these will NOT be available or included as part of my Wired for Wellness service you book.
In order to ensure our clients receive the best possible coaching experience, Wired for Wellness coaches are not permitted to provide other types of services to our clients or to use modalities other than those we teach in the Applied Memory Reconsolidation Practitioner Training Program.
I (the client) understand that most Wired for Wellness coaches are not licensed counselors, psychologists, psychiatrists, or any other type of licensed mental health professional, and have no formal training in these fields and they do not portray themselves as such.
I (the client) understand that this brain training coaching or brain rewiring session to be provided is distinctly different from counseling, psychotherapy, or psychoanalysis and does not deal with the diagnosis or treatment of mood or behavioral disorders. The coaching to be provided will include education in the use of emotional releasing and neuroplasticity modalities of several kinds. The brain rewiring sessions will involve the same emotional releasing and neuroplasticity approaches. The modalities to be used are considered complementary to conventional healing modalities and may be used on their own or in conjunction with each other.
I understand these services may include physical movement or self-touch, such as tapping on myself, dancing, self-massage, or others. I agree to avoid doing any movement or touching myself in any way that would cause pain, feel traumatic, or be harmful. I will express immediately if anything I am doing during a session causes me any physical discomfort.
2. CREATING THE IDEAL CONDITIONS FOR SESSIONS:
I understand that I, the client, must bring a topic I desire help with to each session. For brain rewiring sessions, the coach will generally base the first session on the information provided in the Brain Rewiring Intake Questionnaire plus additional questions asked live during the session. However, after that, when I am ready to work on a new issue, I understand that I will need to come prepared at the start of the session to describe the issue I would like to work on and answer additional questions about it. I understand that if I have multiple issues I would like to address in private sessions, that I will prioritize ONE that feels most urgent to me to work on at each session.
For brain training coaching sessions, I understand that I am responsible for being prepared to describe the issue I would like advice about at the start of the call. It is perfectly fine to bring multiple things you would like to ask questions about or have help with to this type of call, but the coach may not be able to address all of them in the allotted time, and there is no guarantee that they will.
The coach will take notes throughout the sessions, and you are encouraged to take notes during brain training coaching calls if you wish. For brain rewiring sessions, it is best to wait until AFTER the session or when the coach recommends you do so, so that you can be fully present for the session.
I, THE CLIENT, UNDERSTAND THAT I SHOULD JOIN THE CALL FROM A FULLY CHARGED COMPUTER, LAPTOP, OR CELLPHONE WITH A STRONG WIFI OR WIRED INTERNET CONNECTION BECAUSE CELLULAR DATA CAN BE QUITE UNRELIABLE AND LEAD TO CALL INTERRUPTIONS.
If I, or the coach, happen to lose internet service for a significant period of time during my scheduled session, I can discuss with the coach either extending the session or scheduling that missed session time at another date or time.
I, the client, understand that I am expected to situate myself in a quiet space, free of background distractions or noise during sessions. I understand that it is important that I am not driving, walking around, multi-tasking, or in charge of supervising children at that time.
I agree that I will have complete privacy during my session, so that I can be fully open about the issue I need help with, and so that I can feel comfortable to follow the coach’s instructions throughout the session.
The coach will provide the client with their undivided attention during the appointment time, and will prevent reasonably foreseeable interruptions and/or distractions. They will also provide a safe and private space for your session.
3. ASSUMPTION OF RESPONSIBILITY:
I (the client) accept complete responsibility for my emotional and/or physical wellbeing before, during, and after sessions, and I will instruct any others I share these techniques with, to take the same responsibility for themselves.
I (the client) agree that it is my responsibility to notify my therapist, psychiatrist, and/or physicians prior to using these skills and agree to their supervision if suggested. I will continue to take all my medications as prescribed and remain under the care of my physician or therapist for any medical, emotional or mental condition for which I am currently being treated or believe I may need treatment.
I (the client) will not use these private sessions or techniques to try to solve a problem where it is not appropriate. This includes, but is not limited to:
trying to rewire my own high intensity trauma by myself
trying to use the techniques to avoid medical care when it would be dangerous not to receive medical evaluation and treatment.
trying to use the techniques as a substitute for in-patient psychiatric care when I am in a state that is dangerous to myself or others.
using private sessions to try to address a serious diagnosis of mental illness, including, but not limited to any type of personality disorder, schizophrenia, schizo-affective disorder, active mania, active psychosis, active suicidality with intent and a plan, or a serious addiction.
Wired for Wellness, LLC coaches are not trained or licensed to support or offer brain training coaching nor brain rewiring sessions to people with these more serious diagnoses or in one of these more serious states of mental illness. Should the coach suspect or find out that you are dealing with one of these diagnoses or are in a dangerous state of mental health, they will be required to refer you to a licensed mental healthcare provider. In very dangerous cases, this may include crisis support and hospital-administered care.
I (the client) take full responsibility for what I do with these techniques, and will hold harmless the Wired for Wellness coach, Wired for Wellness, LLC, Patti-Woodworth Norris, Karen Cureton, or anyone else associated with the techniques. Subject to the other provisions of this agreement, I may use any of the techniques I learn during the session for myself only.
I understand that I can accept or not accept any recommendations and I can terminate my relationship with the coach or switch to a different Wired for Wellness coach at any time.
I understand that I am expected to interact with all Wired for Wellness coaches respectfully, and that failure to do so may forfeit my pre-paid private session time without refund at the discretion of Wired for Wellness, LLC.
4. CONFIDENTIALITY:
To make sure our clients always receive the highest quality coaching possible, I, the client, understand that all Wired for Wellness coaches are required to take and save notes during all private brain training coaching and brain rewiring sessions. These notes can be referenced by other Wired for Wellness coaches for the purpose of continuity of the coaching experience, both during and outside of private sessions you receive in the program. This is essential should you need or want to receive sessions from multiple coaches on the Wired for Wellness team.
For the purposes of quality control and training, I, the client, understand that all Wired for Wellness private brain training coaching and brain rewiring sessions are audio and video recorded and saved.
I, the undersigned, of legal age, hereby grant, irrevocably and perpetually to Wired for Wellness, LLC and their coaches, contractors, owners, subsidiaries, affiliates, successors and assigns thereof, the following:
1. The right to photograph, video, and audio record my private brain training coaching and brain rewiring sessions.
2. The right to record my name, voice, appearance, and/or written testimony along with any material furnished by me, in whole or in part.
I (the client) understand that information revealed during coaching sessions (verbally, in recorded calls, or in written format) will remain confidentially held by Wired for Wellness, LLC, unless disclosure is required by law or you have signed a release form. I understand that all coaches who work for Wired for Wellness, LLC will have access to this information.
The conditions in which disclosure is required by law include any reasonable suspicion of child, dependent, or elder abuse; when you are a danger to others; or when you are likely to harm yourself unless protective measures are taken. If there is ever a time when your emotional status is an issue in a legal proceeding, i.e., child custody evaluation, Workmen’s Compensation claim, etc. then a judge may subpoena your records, and/or testimony if he/she determines the issues demand it. In most legal proceedings, however, Wired for Wellness, LLC will be able to prevent providing others information about our session work.
5. SCHEDULING, RESCHEDULING, SESSION FORFEITURE:
I (the client) understand that Wired for Wellness, LLC recommends that I book brain rewiring sessions close together such as once a week or every other week until I have reached my goals, for the best results.
For brain training coaching, there is no optimal frequency, and they are recommended to be booked as needed.
I understand that all Wired for Wellness private brain training coaching calls and brain rewiring sessions are pre-pay only and non-refundable.
I understand that I can reschedule my sessions, if done so 24 hours or more prior to the session.
I understand that I will not have the opportunity to reschedule if I cancel my session with less than 24 hours notice prior to the session start time or if I don’t show up at the time of the session.
If I have purchased a package, and do not give 24 hours notice to cancel or reschedule a session in that package, this session will be forfeited, meaning it will be counted as if I had the session, and no refund will be provided for this unused session.
Because Wired for Wellness, LLC recognizes that emergencies do occasionally arise, I understand that one session reschedule within 24 hours for extenuating circumstances is permitted.
I (the client) also understand that a brain rewiring session takes about 90 minutes while a brain training coaching call is 50 minutes, and time begins at the scheduled time of appointment.
6. LATE TO SESSION:
I (the client) understand that if I have not shown up to the session within 10 minutes of the start time, the Wired for Wellness coach will attempt to contact me by text or email to remind me of my session.
If I am in attendance within 15 minutes of the appointment start time, the coach will work with the remaining time of our scheduled session. My session time will not be extended to accommodate a late start.
If I am not in attendance within 15 minutes of the start time, the session will be considered a no-show and will be forfeited without refund. At which time, the emergency reschedule is no longer a valid option.
7. REFUND POLICY + DONATION OF UNUSED SESSIONS:
I (the client) understand that the private coaching session fee is non-refundable, including unused sessions.
Pre-booked sessions expire, and can no longer be scheduled, if not used within 3 months of purchase.
8. NO GUARANTEES:
I (the client) understand that the Wired for Wellness coach will be providing their best techniques, skills, and advice in sessions, but that they cannot guarantee the outcome or results. The coach makes no guarantees other than that the services described in paragraph 1 (Scope of Work: Private Brain Training Coaching and Brain Rewiring Session Services), shall be provided to me. In signing this agreement, I (the client) agree to taking 100% responsibility for all outcomes and results.
9. PUBLIC DISCLOSURE:
Neither party may disclose the terms of this Agreement. Neither party shall make any formal or informal public statement, press release, or other announcement regarding the existence of terms of this Agreement without the other party’s written consent.
10. NON-DISPARAGEMENT:
I (the client) am agreeing that, during and after our contracted sessions together, I will refrain from making any statements or comments of a defamatory or disparaging nature to any third party, to include social media, regarding Wired for Wellness, LLC, Wired for Wellness, LLC coaches, Wired for Wellness, LLC owners, or any of their policies, services, or products.
11. LIMITATION OF LIABILITY:
In no event shall either party have any liability to the other party for any lost profits, loss of use, business interruptions, costs of procurement of substitute goods or services, or for any indirect, special, incidental, multiple, exemplary, punitive, or consequential damages however caused and, whether in contract, tort, or under any other theory of liability, whether or not the party has been advised of the possibility of such demand.
In no event shall a party’s liability exceed the fees paid under this agreement, whether in contract, tort, or under any other theory of liability.
The foregoing limitations in this section shall not apply to a breach of confidentiality by a party.
12. SOVEREIGNTY OF THIS AGREEMENT:
This agreement constitutes the entire coaching agreement between the parties and supersedes all prior and contemporaneous coaching agreements, representations, and understanding of the parties. No supplement, modification or amendment of this Agreement shall be binding unless executed in writing by all parties. No waiver of the provisions of this Agreement shall be deemed or shall constitute a waiver of any other provision.
13. SEVERABILITY:
If any term, provision, covenant, or condition of this Agreement is held by an arbitrator or court of competent jurisdiction to be invalid, void, or unenforceable, the rest of the Agreement shall remain in full force and effect and shall in no way be affected, impaired, or invalidated.
I (the client) have not altered the original agreement before signing.
I (the client) acknowledge that I have read the above agreement, and understand it completely. I therefore retain Wired for Wellness, LLC’s coaching services and voluntarily make and grant this Waiver and Assumption of Risk in favor of Wired for Wellness, LLC and the Wired for Wellness, LLC coaches as consideration for monies paid to the Wired for Wellness, LLC.