This Coaching Client Agreement / Contract (hereafter referred to as "the Agreement") constitutes a contract between Frederique Begin, LICSW (hereafter referred to individually as the "Coach") and the Undersigned, yourself, as indicated on the signature page (hereafter referred to as the "Client"). The Coach, as defined above, may advise the Client on specific topics such as behavior, mindfulness, nutrition, and other supporting roles, which are explained in more detail in the Coaching Services document.. As the Client, please read both this Agreement and the Coaching Services documents carefully and raise any questions and concerns that you may have before signing. 

PAYMENT & BILLING: 

The non-refundable fee is considered to be earned upon receipt. The Client agrees to pay all sessions in FULL within 30 days of receipt of invoice. The Term of this Agreement will commence upon your acceptance of this Agreement. By accepting the terms of this Agreement, you agree and understand that you are foregoing the right to claim any refund of fees paid for access and use of the services offered by the Coach. 

CONFIDENTIALITY: 

The Client understands that all information discussed is confidential and that written permission is required in order for my coach to speak with anyone regarding our work together. The Client understands that the Coach may participate in professional consultation to assure that Clients are receiving the best coaching possible. The Client further understands that at times telephone conversations, video, online, group calls, webinars, texts, e-mails or faxes may be utilized and that the confidentiality of information transmitted through these venues cannot be guaranteed. 

Coaching is not a medical treatment and is not covered by HIPAA. Because the Coach is also a licensed mental health professional, the Coach is legally and ethically bound to protect either the Client or others from harm, and confidentiality may therefore be limited in this instance. The Client understands that if they are at imminent risk of hurting another, or themselves, the Coach is required to take protective action. In some situations, the Coach may insist that you enter psychotherapy as a condition of continued coaching, which may require the Coach to discuss with your psychotherapist for continuity of care. The Client understands that these instances are quite rare in coaching practices and that the Coach will make every effort to discuss these matters with clients prior to taking any action. 

MUTUAL NONDISCLOSURE: 

The Coaches and the Client mutually recognize that they may discuss the Client's future plans, business affairs, customer lists, financial information, job information, goals, personal information, and other private information. The Coach will not voluntarily communicate the Client's information to a third party. In order to honor and protect the Coach’s intellectual properties, the Client expressly agrees not to disclose or communicate any proprietary information about the Coach's practice, materials, or methods to any third parties. The Coach and the Client agree to be bound by this mutual nondisclosure agreement during and after the termination of the Agreement. 

HOLD HARMLESS: 

I agree to hold harmless the Coach from and against all losses, expenses, damages and costs, including reasonable attorney's fees, relating to or arising from any information loss due to technical failure, use of the internet to communicate with the Coach or the use of the Coach's Site, any arrangements made based on information obtained by the Site, any products or services obtained through the Site. The Coach does not warrant that the functions contained in any materials provided will be error-free or that the website or server that makes such site available is free of viruses or other harmful components. Security measures are absolutely taken to prevent any issues and the Coach takes all reasonable actions to protect the Client. 

DISPUTE RESOLUTION: 

It is agreed between the Client, his or her assigns, family or estate and the Coach that any controversy or claim arising out of or relating to the Agreement, or the breach of the Agreement, shall be settled by arbitration by an accredited individual or organization with a mutually agreed-upon arbitrator. Arbitration may occur by telephone. 

BY SIGNING BELOW, YOU ACKNOWLEDGE THAT YOU UNDERSTAND AND AGREE TO ALL OF THE AFOREMENTIONED TERMS, INCLUDING THOSE RELATED TO FEES, BILLING, AND CONFIDENTIALITY. IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the day and year first above written. 

NAME:

SIGNATURE: DATE:

Begin Coaching

Concord, Ma.

978-413-9118   

fbegin@mac.com