New Client Forms

Rights to dignity and respect, clarity of services, informed consent, confidentiality, appropriate refferals, ethical practice, spiritual integration, autonomy and empowerment, supervised and accountable care, feedback and grievance process.

Continuum of Care

Professional Mental Health Coaches are not licensed counselors, therapists, psychologists, or medical providers. Coaching is not a substitute for clinical treatment,mental health diagnosis, or medical care. Professional Mental Health Coaches are a part of a range of options available to individuals on their mental health and wellness journey.

Definition of coaching, commitment to integrity, non-discrimination, collaboration with other professionals, confidentiality, safety and well-being, and continuing education and supervision

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Description of professional mental health coaching, credentials, confidentiality and limits, client responsibilities and agreement, emergency contact information.

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The information you provide in this intake form helps your coach understand your current situation, background, and coaching goals. It is used to ensure that coaching services are appropriate, to support your overall well-being, and to help identify if additional support or referral may be beneficial. Your responses will remain confidential in accordance with ethical guidelines and will only be used to guide the coaching process.

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Scope of services, confidentiality and limits, coaching relationship and responsibilities, fee schedule, cancellation and rescheduling policy, disclaimer and limitations of liability, termination of agreement, governing law and dispute resolution, acknowledgement and agreement, client access to agreement