LIFE COACHING CLIENT
AGREEMENT
Welcome to Figure Life Out With Dr. Stef! FLOW with
Dr. Stef offers life coaching services specifically designed for physicians who may also happen to be mothers, and who have coaching goals related to divorce, parenting, health, and weight loss (“Coaching”). Coaching can help to increase your self awareness, generate learning, and identify and accomplish your meaningful goals.
To get the most out of your Coaching, it is important that we have a shared
understanding and this Life Coaching Client Agreement (“Agreement”) describes
how we will work together.
1) Scope of Coaching. Coaching is a collaborative relationship between Client
and Coach that empowers the Client to unlock her full potential. Coaching
specifically does not involve the cure, diagnosis, prevention, or treatment of
any physical or mental health condition. Coaching is not, and in our work
together never will be, psychotherapy, medical care, substance use treatment,
legal advice, or anything other than Coaching. Coaching can trigger issues
that may be best served by the additional support of a therapist, primary care
provider, or other appropriate referral. If your Coaching includes a change in
diet and/or exercise, you will need to consult with your primary care provider in
advance of implementing those changes. Obtaining other supportive services
is exclusively your responsibility. If you are referred for additional support and
choose not to obtain such support, Coaching will not be a surrogate for those
Needs.
2) Coaching Relationship. An effective Coaching relationship requires mutual
understanding and respect between the Client and the Coach. By signing this
Agreement and commencing Coaching, we are both agreeing to the
Following:
- a) Honest Communication. We will both communicate honestly, be open to
feedback, and ensure there is sufficient time and space to participate fully in
each Coaching Session.
- b) Open Mindset. Coaching is most effective when both Client and Coach trust
the process of your own self-discovery. You agree to participate in each
Coaching Session with an open mind, and you will be honored as the center
of your process.
- c) Accountability. Coaching creates a framework of accountability to help you achieve your goals. However, Coaching is not an authority that demands you
take action on the goals, plans, or objectives that you identify in Coaching
Sessions. The performance of your work and the results you generate are
exclusively up to you.
- d) Scheduling. We will work together to identify mutually agreeable days and times to conduct our Coaching Sessions; however, the task of scheduling
sessions is exclusively your responsibility. You agree to arrive for Coaching
Sessions on time, prepared to participate, and be settled in a distraction-free,
safe space prior to the start of the Coaching session.
- e) Expectation Management. Coaching operates from the premise that you are the expert of your lived experience. It is not possible to know in advance what
insights, learning, and transformation will result from your Coaching Sessions
and the work you perform in between Sessions. As such, you will need to
properly manage your own expectations and be responsible for the outcomes you create. Coaching does not pretend to offer the promise of any particular result, and as with most things in life, there are absolutely no guarantees.
- f) Prioritizing Safety. Coaching is not appropriate for periods of active or acute trauma or crisis. By signing this Agreement you understand, acknowledge,
and agree that you are not in a state of trauma or crisis, and if such a state
arises during your Coaching, you will pause all further sessions until you are
able to resolve the underlying problem. You will be asked to provide an
emergency contact prior to commencing Coaching.
For transparency, we want to be absolutely clear that FLOWith Dr. Stef is under an
ethical obligation to report physical abuse, domestic violence, child abuse, elder
abuse, suicidal thoughts, and homicidal thoughts to your emergency contact or
the appropriate authority. FLOWith Dr. Stef’s ethical obligation in this regard
supersedes our confidentiality obligations described in section 2.g below.
- g) Confidentiality.
- Your Confidential Information. FLOWith Dr. Stef will treat our Coaching
relationship and all the information you share as strictly confidential. If we
wish to use any of your confidential information, including your name as a
referral source, we will get your consent first. However, our confidentiality
obligation to you may be superseded by other obligations to which we
are bound including our ethical obligation under section 2.f of this
Agreement and disclosures that are legally compelled or required by law.
The Client-Coach relationship does not create privilege or other legal
protection applicable to our communications.
- Confidential Information of Others. The FLOWith Dr. Stef’s Program is a
Group Coaching experience and each participant must maintain the
confidentiality of the other group members with the same level of care that
FLOWith Dr. Stef uses to protect Your Confidential Information. By
participating in the FLOWith Dr. Stef’s Program you agree to the following:
- You will not share any personal information or the experiences of
another member with anyone beyond the other members present in
that specific Group Session. In short, what is shared in Group
Sessions, stays in Group Sessions.
- If there is a concern, you are expected to go directly to the Coach and
not another group member.
- The Group Session recordings are for Absences and group member
review purposes only. These recordings are not to be shared with
anyone outside of the members present at that specific Group Session.
iii. FLOWith Dr. Stef’s Confidential Information. In the course of Coaching,
you will have access to certain confidential information that belongs to
FLOWith Dr. Stef’s, and such information constitutes its valuable, special
and unique property. For purposes of this Agreement, "FLOWith Dr. Stef’s
Confidential Information" includes all such information that is by law so
protected, information that is developed without reference to your
confidential information, as well as any and all information that is
maintained and designated as such by FLOWith Dr Stef. By signing this
Agreement you understand acknowledge, agree, and that you shall not, during
or after the term of this Agreement, without FLOWith Dr Stef’s prior written
consent, disclose any of FLOWith Dr Stef’s Confidential Information to any third
party for any reason or purpose whatsoever except as may be required by law.
- Mutuality. For each of us, in the event of any legally compelled disclosure of
confidential information, we will promptly notify one another of the
compulsion and with reasonable time that may be necessary to take
protective action against the disclosure prior to it being made. For each of
us, confidential information excludes information that we had prior to
receiving a disclosure, is generally public knowledge, or was provided by a
third-party. The confidentiality provisions of this Agreement shall survive
expiration or termination of this Agreement for any reason.
- Trade Secrets. This provision is required by law. Neither party shall not be
held criminally or civilly liable under any federal or state trade secret law for
the disclosure of a trade secret that is made in confidence to a federal,
state, or local government official, either directly or indirectly, or to an
attorney, solely for the purpose of reporting or investigating a suspected
violation of law; or is made in a complaint or other document filed in a
lawsuit or other proceeding, if such filing is made under seal.
3) Term. This Agreement is effective as of the date set forth on the signature
page, or the date services are first provided, whichever occurs first. This
Agreement will continue until it is formally terminated. We each have the right
to terminate this Agreement, without cause, upon 30 days’ written notice.
FLOWith Dr. Stef will continue to provide services through the termination
period unless we mutually agree otherwise. There are no refunds for prepaid
fees, so please be sure you are comfortable with this commitment prior to
signing this Agreement.
4) Fees. Your Coaching Package and the associated participation fees are
described on Attachment A. You are permitted to cancel this Agreement
within 5 days of signing it if services have not yet been provided.
5) Miscellaneous.
- b) Amendment. No amendment or variation of the terms of this Agreement
shall be valid unless in writing and mutually agreed to by both parties.
- c) Communications. You acknowledge that FLOW communications may include
use of cell phones, e-mail, instant messaging, and video (collectively,
“Communications”). Communications by their nature cannot be guaranteed to
be secure or confidential. Communications technology and platforms are
wholly outside of our control. Therefore, FLOW and its agents shall not be
liable to you, or anyone, for any cost, damage, expense, injury, or other loss
relating to Communications, malfunctions, or delays in response.
- d) Counterparts. If this Agreement is signed in counterparts, all parts together
shall constitute one and the same instrument. Electronic signatures will be
considered original signatures. The original of this document may be stored
and reproduced digitally. Any
accurate reproduction may be substituted or used in lieu of the original for
any and all purposes for which the original could be used, including proof of
the original contents.
- e) Dispute Resolution. The parties shall endeavor to amicably resolve any
disputes arising under this Agreement. If such internal resolution is not
effective, each party agrees to participate in good faith mediation in order to
resolve the dispute. If mediation is unsuccessful, each party agrees that final
disposition of the dispute shall be resolved by binding arbitration and
enforced by any court of competent jurisdiction. The provider of arbitration
services shall be determined by FLOW. Notwithstanding anything to the
contrary, small claims and county court actions brought by FLOW shall be
exempt from the requirements of this provision.
- f) Governing Law. This Agreement shall be subject to and governed by the
laws of Colorado, without regard to any conflicts of law provisions therein
contained and the parties specifically waive any and all jurisdictional rights
under the laws of any other state.
- g) Grammar. Unless the context otherwise requires, grammatical references shall
be deemed to include masculine, feminine, singular, plural, individuals, and
entities, as applicable. Capitalized terms used in this Agreement shall have the
definitions provided. The captions and headings for each provision of this
Agreement are included for convenience of reference only and shall not be
deemed to modify, restrict, or enlarge any of the terms or provisions of this
Agreement.
- h) Integration. This Agreement constitutes the entire agreement between the
parties with respect to the subject matter hereof and supersedes any and all
other oral or written agreements, representations, negotiations, and
understandings.
- i) Notices. Any notices or payments required or permitted to be given under
this Agreement shall be deemed given when in writing, by electronic
transmission, hand delivered, or delivered by traceable carrier with postage
prepaid, to the other party at the address set forth herein or as the parties
may otherwise designate in writing. All notices shall be deemed delivered
as evidenced by verified digital date stamp, on the date of hand delivery, or
the date of receipt provided by traceable carrier.
- j) Remedies. All powers, remedies, and rights (“Remedies”) granted to either
party by any particular term of this Agreement are cumulative and in addition
to, but not in limitation of, any Remedies that it has under any other term of
this Agreement, at common law, in equity, by statute, or otherwise. All such
Remedies may be exercised separately or concurrently, in such order and as
often as may be deemed expedient by either party.
- k) Severability. In the event that any provision of this Agreement is held to be
illegal or unenforceable for any reason, the unenforceability of that provision
shall not affect the remainder of this Agreement, which shall remain in full force
and effect in accordance with its terms, and any offending provision shall be
rectified to the minimum extent necessary for conformity with law unless it
cannot be rectified in which case this Agreement shall be interpreted as
though the offending provision had not existed. If this Agreement is held to be
invalid or unenforceable for any reason, and if FLOW is therefore required to
refund all or any portion of the fees paid by you, you agree to pay FLOW an amount
equal to the fair market value of the services actually rendered to you during the
period of time for which the refunded fees were paid commensurate with prevailing
rates for similar services.
- l) Survival. Any provisions of this Agreement creating obligations extending
beyond the term of this Agreement shall survive the expiration or termination
of this Agreement for any reason.
- m) Third-Party Beneficiaries. It is the mutual intention of the parties that this
Agreement is a personal agreement for their exclusive benefit, that is does not
confer any rights upon any person not a party to this Agreement and that no
individual or entity shall be construed or considered to be a third-party
beneficiary of this Agreement. This Agreement is not exclusive and does not
restrict either party from engaging with other third-parties. Coaching Sessions
may be performed by a variety of Coaches at FLOW’s discretion.
- n) Valid Payment. You are required to pay for Coaching with a valid form of
payment. If the form of payment provided expires or otherwise becomes
invalid, you agree to promptly provide updated payment information. In the
event there are costs associated with invalid payment information, including
chargebacks and insufficient funds fees, such charges will be applied to your
account. By signing this Agreement you are authorizing FLOW to charge the
fees described herein to the form of payment then currently on file and to use
this form of payment to pay any and all amounts as those become due.
- o) Waiver. No waiver of a breach of any provision of this Agreement will be
construed to be a waiver of this Agreement, or any other provision herein
contained, whether of a similar or different nature, and no delay in acting with
regard to a breach shall be construed as a waiver of that breach.
Disclaimer and Limitation of Liability
I expressly understand, acknowledge and agree that Figure Life Out, LLC is not
liable to me for anything other than its faithful performance of this Agreement and to the extent permitted by law, I release it from any and all liability including without limitation: any consequential, direct, exemplary, incidental, indirect, or special damages, as well as causes of action arising under tort and any other theory of liability. Where permitted or required by law, in the event damages are assessed, I consent to the limitation of damages such that they do not exceed the total amount of fees paid by me under this Agreement. I understand that this release does not apply to breaches of this Agreement, or negligent or intentionally harmful conduct by FLOW or its agents.
Your virtual signature below means that you have read, understand, and agree to all of the disclaimers, terms, and conditions contained in this Agreement along with any attachments all of which together constitute good and valuable consideration, the receipt and legal sufficiency of which are hereby acknowledged.
Signature Date
Client Name:
Address:
Email:
Phone:
Please provide an emergency contact to Dr. Stef at your earliest convenience
Emergency Contact:
Emergency Contact
Phone:
Emergency Contact Relationship to You:
ATTACHMENT A
1) Coaching Sessions. Coaching Sessions will occur weekly unless another
period is identified in advance. Coaching Sessions will occur via telephone or
a cloud-based communications application such as Zoom. Coaching Sessions
will be approximately 45 minutes in duration. Coaching Sessions include
follow-up email support.
2) Coaching Sessions Expiration: Coaching sessions must be used within
6 months of purchase. Any sessions not used by the end of 6 months will be
forfeited.
3) Coaching Packages
- b) One-on-One Coaching:
12 sessions for $2000
4) Absences. If you are unable to attend a scheduled Coaching Session, you will
need to provide at least 24 hours notice of cancellation, otherwise your
missed session will be logged as an Absence and there are no refunds for
Absences. If you are Absent from a FLOW Program Session, the recording (if
any) of the session will be made available to you, but there are no make-up
sessions for the Program.
In the event that FLOW needs to reschedule a Coaching Session, we will
endeavor to provide the maximum notice possible and will work with you for
optimal rescheduling.