• I understand that the coaching services I will be receiving from Dawn Wiggins (Coach) are not offered as a substitute for professional mental health care or medical care and are not intended to diagnose, treat or cure any mental health or medical conditions. I also understand that my (Coach) is not acting as a mental health counselor or a medical professional.
• I understand that coaching is, at present, an unregulated industry and that my (Coach) is not licensed by the State of Florida or any other state. I also understand that for all legal purposes, the services provided by my (Coach) will be considered to be provided in the State of Florida.
• I understand and agree that I am fully responsible for my well-being during my coaching sessions, and subsequently, including my choices and decisions.
• I understand that coaching is not a substitute for counseling, psychotherapy, psychoanalysis, mental health care or substance abuse treatment; and I will not use it in place of any form of therapy.
• I understand that all comments and ideas offered by my (Coach) are solely for the purpose of aiding me in achieving my defined goals. I have the ability to give my informed consent, and hereby give such consent to my (Coach) to assist me in achieving such goals.
• I understand that my (Coach) will protect my information as confidential unless I state otherwise in writing. If I report child, elder abuse or neglect or threaten to harm myself or someone else, I understand that necessary actions will be taken and my confidentiality agreement limited in this capacity. Furthermore, if my (Coach) is ordered by a court to provide information or to testify, she will do so to the extent the law requires.
• I understand that the use of technology is not always secure and I accept the risks of confidentiality in the use of email, text, phone, Zoom and other technology.
• I hereby release, waive, acquit and forever discharge my (Coach), any agents, successors, assigns, personal representatives, executors, heirs and employees from every claim, suit action, demand or right to compensation for damages I may claim to have or that I may have arising out of acts or omissions by myself or by my (Coach) as a result of the advice given by my (Coach) or otherwise resulting from the coaching relationship contemplated by this agreement. I further declare and represent that no promise, inducement or agreement not expressed in this agreement has been made to me to sign this agreement. This agreement shall bind my heirs, executors, personal representatives, successors, assigns, and agents

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Last Updated: May 14, 2019