$200.00 USD

Healthier For Good PLLC Coaching Agreement

Effective date: 9/1/2021

This Agreement is entered into by and between: Megan Melo, Healthier For Good PLLC, (hereafter “Coach”) and ___________________ (hereafter “Client”), whereby Coach agrees to provide Coaching Services for Client focusing on the following topics/results/outcomes/goals attached to this Agreement as Schedule A.

Description of Coaching: Coaching is partnership (defined as an alliance, not a legal business partnership) between the Coach and the Client in a thought-provoking and creative process that inspires the client to maximize personal and professional potential. It is designed to facilitate the creation/development of personal, professional or health goals and to develop and carry out a strategy/plan for achieving those goals.

1) Coach-Client Relationship

  1. Coach agrees to maintain a high level of ethics and standards of behavior for the duration of the coaching relationship. This includes maintaining a high level of integrity, working for the benefit of the Client, maintaining confidences as appropriate, ensuring a professional and respectful working relationship between the Coach and the Client, and communicating clearly and honestly.
  2. Client is solely responsible for creating and implementing his/her own physical, mental and emotional well-being, decisions, choices, actions and results arising out of or resulting from the coaching relationship and his/her coaching calls and interactions with the Coach. As such, the Client agrees that the Coach is not and will not be liable or responsible for any actions or inaction, or for any direct or indirect result of any services provided by the Coach. Client understands coaching is not therapy and does not substitute for therapy if needed, and does not prevent, cure, or treat any mental disorder or medical disease.
  3. Client further acknowledges that he/she may terminate or discontinue the coaching relationship at any time.
  4. Client acknowledges that coaching is a comprehensive process that may involve different areas of his or her life, including work, finances, health, relationships, education and recreation. The Client agrees that deciding how to handle these issues, incorporate coaching principles into those areas and implementing choices is exclusively the Client’s responsibility.
  5. Client acknowledges that coaching does not involve the diagnosis or treatment of mental disorders as defined by the American Psychiatric Association or of medical conditions as defined by the American Medical Association and the Washington State Medical Commission. Coaching is not to be used as a substitute for counseling, psychotherapy, psychoanalysis, mental health care, substance abuse treatment, or other professional advice by legal, medical or other qualified professionals. It is the Client’s exclusive responsibility to seek such independent professional guidance as needed. If Client is currently under the care of a mental health professional, it is recommended that the Client promptly inform the mental health care provider of the nature and extent of the coaching relationship agreed upon by the Client and the Coach.

    F. Client further acknowledges that entering Coach-Client relationship does not constitute Physician-Patient relationship, that Coach does not provide any Medical Services to Client, that Coach does not provide any Emergency Services to Client. In the unlikely event that Coach reasonably believes that Client is in imminent danger or presents a threat to others, Client understands and agrees that Coach is obligated to report such fears to the appropriate authority, including, but not limited to the Medical Board of the Client’s state of practice.
  6. The Client understands that in order to enhance the coaching relationship, the Client agrees to communicate honestly, be open to feedback and assistance and to create the time and energy to participate fully in the program.

2) Services

The parties agree to engage in a Coach-Client relationship that is internet-based. This includes coaching sessions of 50 minutes, or group coaching sessions which may last 60-120 minutes. Coach will be available to Client by email in between scheduled meetings as defined by the Coach. Coach may also be available for additional time, per Client’s request for up to 30 minutes per month in which Client has appointment scheduled, with additional time available per Client’s request on a prorated basis rate of $100 per hour (for example, reviewing documents, asynchronous coaching by email, engaging in other Client related services outside of coaching hours.

3) Schedule and Fees

The fee is $200.00 for 1 coaching session of 50 minutes. Coaching will be billed at the time of service, and invoices are due upon receipt. This fee schedule applies only to individual pricing of sessions; in the event that Client purchases a multiple-session package, or a group-session package, the advertised price will be made clear to the client prior to purchase of said product.

If rates change before this agreement has been signed and dated, the prevailing rates will apply.

If the coaching relationship is terminated prior to the end of the agreement, Client shall not be relieved of any obligations to pay fees due to Coach solely because of the termination of this agreement.

If Client needs to cancel an appointment, our cancellation policy requires the Client to notify Coach by email communication 24 hours in advance. If Client fails to notify Coach of the need to cancel the appointment, Coach retains the right to charge Client for services in full, based upon the Coach’s discretion. 

4) Procedure

The time of the coaching meetings and/or location will be determined by Coach and Client based on a mutually agreed upon time. The Client agrees to electronically arrive to the appointment with the Coach at the scheduled appointment time. In the event that electronic appointment is not possible, due to technologic or logistical issues, Client will be notified prior to the scheduled appointment time, and appointment can proceed by telephone or other mutually agreeable option.

5) Confidentiality

The Coach will hold all coaching communications in confidence. However, please be aware that the Coach-Client relationship is not considered a legally confidential relationship (like the medical and legal professions) and thus communications are not subject to the protection of any legally recognized privilege. The Coach agrees not to disclose any information pertaining to the Client without the Client’s written consent. The Coach will not disclose the Client’s name as a reference without the Client’s consent.

Confidential Information does not include information that: (a) was in the Coach’s possession prior to its being furnished by the Client; (b) is generally known to the public or in the Client’s industry; (c) is obtained by the Coach from a third party, without breach of any obligation to the Client; (d) is independently developed by the Coach without use of or reference to the Client’s confidential information; or (e) the Coach is required by statute, lawfully issued subpoena, or by court order to disclose; (f) is disclosed to the Coach and as a result of such disclosure the Coach reasonably believes there to be an imminent or likely risk of danger or harm to the Client or others, including Client’s patients; and (g) involves illegal activity. The Client also acknowledges his or her continuing obligation to raise any confidentiality questions or concerns with the Coach in a timely manner.

6) Cancellation Policy

Client agrees that it is the Client's responsibility to notify the Coach 24 hours in advance of the scheduled calls/meetings. Coach reserves the right to bill Client for a missed meeting. Coach will attempt in good faith to reschedule the missed meeting.

7) Record Retention Policy

The Client acknowledges that the Coach has disclosed his/her record retention policy with respect to documents, information and data acquired or shared during the term of the Coach-Client relationship. Such records will be maintained by the Coach in a format of the Coach’s choice (print or digital/electronic) for a period of not less than 4 years.

9) Termination

Either the Client or the Coach may terminate this Agreement at any time with 1-week written notice. Client agrees to compensate the Coach for all coaching services rendered through and including the effective date of termination of the coaching relationship.

10) Limited Liability

Except as expressly provided in this Agreement, the Coach makes no guarantees, representations or warranties of any kind or nature, express or implied with respect to the coaching services negotiated, agreed upon and rendered. In no event shall the Coach be liable to the Client for any indirect, consequential or special damages. Notwithstanding any damages that the Client may incur, the Coach’s entire liability under this Agreement, and the Client’s exclusive remedy, shall be limited to the amount actually paid by the Client to the Coach under this Agreement for all coaching services rendered through and including the termination date.

11) Entire Agreement

This document reflects the entire agreement between the Coach and the Client, and reflects a complete understanding of the parties with respect to the subject matter. This Agreement supersedes all prior written and oral representations. The Agreement may not be amended, altered or supplemented except in writing signed by both the Coach and the Client.

12) Dispute Resolution

If a dispute arises out of this Agreement that cannot be resolved by mutual consent, the Client and Coach agree to attempt to mediate in good faith for up to 30 days after notice given. If the dispute is not so resolved, any controversy or claim arising out of or relating to this contract or breach thereof, including any dispute relating to services provided, fees, or expenses, shall be settles by arbitration administered in accordance with the Uniform Arbitrations Act and judgement on the award rendered by the arbitrator(s) may be entered in any court having jurisdiction thereof.

13) Severability

If any provision of this Agreement shall be held to be invalid or unenforceable for any reason, the remaining provisions shall continue to be valid and enforceable. If the Court finds that any provision of this Agreement is invalid or unenforceable, but that by limiting such provision it would become valid and enforceable, then such provision shall be deemed to be written, construed, and enforced as so limited.

14) Waiver

The failure of either party to enforce any provision of this Agreement shall not be construed as a waiver or limitation of that party's right to subsequently enforce and compel strict compliance with every provision of this Agreement.

15) Applicable Law

This Agreement shall be governed and construed in accordance with the laws of the State of Washington, without giving effect to any conflicts of laws provisions.

16) Binding Effect

This Agreement shall be binding upon the parties hereto and their respective successors and permissible assigns.

 

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If you have any questions, concerns or complaints about this Healthier For Good PLLC Coaching Agreement, please contact us:

 

 

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Coaching Session

Each coaching session has the power to dig into a situation or a decision you are wrestling with and help you find clarity and direction.

Don't be surprised if a single session is more helpful than you imagined!

Details:

  • 50 minute session
  • We meet on Zoom
  • Confidential

Coaching is NOT medical care, and not a substitute for appropriate medical care.

What People Are Saying:

Working with Megan has been extremely helpful. She has helped me to identify some of my unconscious self-created barriers that have been blocking me from making the life changes that I needed to make.

LM (OB/GYN Physician)

When I first connected with Dr. Melo, I was at a crossroads in my career, and frankly, a bit lost as to next steps. I needed a safe place to explore both the path that brought me here and the path ahead. I've been able to open up and see new opportunities. Thank you Dr. Melo!

Anonymous (MD)