Individual Coaching Agreement

Individual Coaching Agreement

 

 

Hi, and welcome to my practice! In order to make sure we’re on the same page and clear about the logistical side of things related to our work together, please carefully review the following agreement and Innerwell’s disclaimer prior to signing. If you have any questions, don’t hesitate to reach out to me at rachel@innerwell.org

Please begin by entering your name and email below.

 



This is an agreement between InnerWell LLC (“Company”), and (“Client”) made on 04/18/2024 (“Effective Date”).

Format

This Agreement provides access to relationship coaching services as follows: 

     • Private coaching sessions with Rachel Zamore (“Coach”), to be scheduled as provided for in this Agreement; 

     • Collaborative care consultations with adjunctive providers (up to 2 per calendar year); 

     • Personalized resources as appropriate; and

     • Direct access to Coach via email and voice memo, for between-session questions (responded to once daily on weekdays only).

Sessions shall be scheduled using the scheduling link available at https://calendly.com/rachel-zamore/50-minute-session, and/or established as a recurring appointment in agreement with Coach. 

Coaching sessions take place by Zoom, and the video session will be initiated by Coach, unless other arrangements have been made or in the case of an inadequate internet connection, in which case the session may shift to a phone call (Coach will call Client at their provided phone number). 

Fees

Payment will be charged by Coach to a card on file at the time of service, at a rate of $250 per 50-minute coaching session, or at the time of scheduling if Client uses Coach’s online scheduling software. Client authorizes Coach to process the card they have provided for all fees incurred as outlined in this agreement.

Client agrees to provide timely updates on payment method if needed, and understands that full payment is due at or before the time of service. 

Extra services provided upon request are charged at a rate of $75.00 per quarter hour. Examples include (but are not limited to) document review, report writing, additional requested session time, Client phone calls or email communications lasting longer than 10 minutes, and collaborative care meetings in excess of two per calendar year. Any additional services, involvement or travel time related to legal proceedings is charged at a rate of $150.00 per quarter hour.


Rescheduling of Sessions

Forty-eight (48) hours’ notice by email to rachel@innerwell.org is required to reschedule or to cancel an appointment. Failure to provide notice results in a forfeited session and full payment shall be due. 

 

Closure

Client and Coach both may choose to end this Coaching relationship at any time. Ideally, this will be done with plenty of advance notice (1 month or more is recommended) as clients generally gain maximum benefit from having an intentional process of consolidation and closure. Regardless of the length of notice provided, any outstanding fees must be paid and late cancellation notice applies for any remaining scheduled sessions. 

 

Confidentiality

Information shared in coaching sessions is confidential and not shared outside the session unless mutually agreed upon and documented in writing by Coach.

Confidentiality Exception: If Coach is required by law to make disclosure regarding the information shared in a coaching session, or where Coach has a good faith belief that disclosure of such information is necessary to comply with the law; or to protect Coach’s rights or property; to avoid harm to the Coach, Client, or a third party; or to respond to an emergency, Coach will limit disclosure to essential information.

Disputes

This Agreement is made and shall be enforced according to the laws of the State of Vermont, without regard to its conflicts of law principles. Client agrees to submit to personal jurisdiction in Brattleboro, Vermont, as the sole forum in the event of a dispute under this Agreement. 

Any claims arising from this agreement for losses, costs, damages of any nature whatsoever or claims expenses from any cause or causes, including attorneys’ fees and costs, shall be limited to the amount paid hereunder.

Other

This Agreement, any business policies and credit card authorization form, is the final and complete agreement between the parties hereto, and any changes must be made in writing and signed by both parties. A waiver of one provision shall not be deemed a continuing waiver or a waiver of any other provision of this Agreement. 

By signing this Agreement, Client agrees to its terms and acknowledges that he or she has read and understands the Disclaimer available at https://innerwell.org/disclaimer and which is incorporated herein by reference. 

Sign Here