If you are looking for the Complimentary Form, please see the "With Compliments" link...

Forms: Must be filled out for any coaching, complimentary or otherwise by each new client.


    AGREEMENT FORM: PLEASE READ, FILL FORM AND SUBMIT WHEN READY. 
    Copy for your records.
    .-Fee's are paid in advance. If for any reason coaching is not for you or, you feel you are not making the progress you had hoped, or the coach feels you are not ready for coaching, you will be refunded the sessions not used.  -It is your responsibility to give me three different set schedules per week, in Eastern time, that you would be available for schedule. I will choose from your list if it coincides with mine. Once you are scheduled I will forward you the information for further progress. - You may email me between sessions Monday through Friday unless otherwise noted, and usually will have a 24-hour email turnaround. This is subject to appointments and other endeavors. 
    . - If you need to reschedule please email me and call me (both) with this information within 24 hours and we will reschedule before or after missed appointment. Missed appointments with notice will be rescheduled within the month or a four week time. However, appointments missed or late are not prorated or refunded in any way. If I must miss an appointment via emergency and can not give you 24 hours notice, I will give you a free appointment. - If I ever say something that upsets you or does not feel right please let me know as integrity is key. 
    .-It is important you understand that this is not psychotherapy and I work only with functioning adults looking for increased success and empowerment. 
    .- It is important that you realize that although this is confidential that if you intend to harm yourself or someone else, I am legally bound to notify authorities.  
    .- Understand that although I am responsible for helping you to achieve empowerment, you are responsible for setting goals into action and creating your own change.

    . __By submitting this form you understand and agree to the above. Please feel free to add as you wish.

    INTAKE FORM(CONFIDENTIAL)
    Congrats on taking this first step. Coaching is subject to your agreement, schedule agreement and payment. 
    That being said, this initial intake form will help me with your intake session, 
    to make it more streamlined and efficient. 
    * denote required fields.

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