It is very valuable to me and you to help me get to know you more fully. Although not required, it is recommended to share your confidential, personal information openly and honestly in your well-being questionnaire and during our coaching sessions with me.
I will honor and protect your privacy and confidentiality of any communications and personal information with me or my Wellcoaches Corporation representatives. Your personal information will not be shared with any person or organization including your employer, physician, or health care provider without your written permission.Wellcoaches Corporation does aggregate on an anonymous basis, coaching outcomes data of Wellcoaches clients, for the sole purpose of helping employers and health plans to consider subsidizing coaching fees. At any time you can add or delete any personal information.
Wellcoaches and I will maintain your client file for up to twelve months after the completion of your coaching program. Your personal website information is secure and protected by Trustwave, the best available security protection software.Wellcoaches Corporation also complies with government regulations concerning the privacy and security of private medical information. You can go to http://www.wellcoaches.com/ for more information. 
Jamie Johnson Lifestyle Medicine Coaching Agreement 2010
- 1. Services: Your hour-long coaching/training sessions are designed to help you learn new skills and make significant behavior changes. I recommend making a (1) one hour, weekly commitment for (12) twelve weeks. Upon completion, we can reevaluate your needs. I will assist you by listening carefully and offering nonjudgmental feedback, thinking through decisions, and asking you questions to gain clarity. I will support you by offering accountability, affirmation and an action plan through your implementation phase in order to help you achieve your goals for life, health or work.. As the client, you will set the agenda for our coaching/training conversations although, if you ask for my input, I will be glad to provide it. Coaching/training does not offer any guarantee of success. As part of taking responsibility for your own well-being, you will be evaluating your own progress and I will offer my feedback whenever you want. The schedule of coaching sessions, and duration of coaching sessions will be arranged to honor your needs.
- 2. Fees and Payment Procedures: My fees are $125 US dollars per hour, $150 US dollars if in-home, except for an initial visit assessment fee, which is $175 US dollars. All fees are to be paid prior to completion of coaching/training session unless other arrangements have been set forth before the initial coaching session. If payment is more than two weeks overdue, an automatic payment will be made using the client's credit card which is on-file with me. This arrangement continues as long as you retain me as your coach. An invoice will be personally provided following the completion of each coaching/training session and sent via e-mail.
- 3. Cancellations: Cancelled or missed sessions occasionally occur in any ongoing coaching relationship. If you need to cancel or change the time of a coaching session I will need 24 hours notice in order to not charge you for the session. With advance notice of more than 24 hours you will not be charged and I will make every effort to reschedule with you. If I need to reschedule a session with you because of illness, travel, or emergency, I will make every effort to give you adequate notice to reschedule with you.
- 4. Taking Breaks and Termination: Sometimes it is useful to take a break from regular coaching/training sessions. Should this need arise, we will discuss the purpose the break will fulfill and determine the timing for it, honoring what can best serve your goals. All coaching/training relationships must end at some point. Either of us may end our coaching/training relationship at any time with one (1) week written or verbal notice. I will offer you support in all the phases of your work with me as a coach/trainer, including the time around our ending process. Several days notice allows you to leave well and having experienced completion.
- 5. Confidentiality: I protect the confidentiality with all of my coaching/training clients. I will only release information about our work together with your written permission. To the maximum extent allowable by law, I will not release any identifying information about you or our work together without your express permission. Mentors with whom I periodically seek consultations are also subject to these confidentiality parameters.
- 6. Definition and Limits of Coaching/training: My coaching/training services are intended for healthy, well-functioning individuals who want to take action and make behavior changes in the service of their goals for life, well-being, health or work. Should some of your needs go beyond what coaching/training provides or what I have expertise to assist you with, I will do my best to help you in finding useful resources for addressing these needs, usually an adjunct to our work.
- 7. Nondisclosure and Intellectual Property: I will not voluntarily communicate your future plans, business strategy, customer information, or financial information to any other third party. To protect my intellectual property and the intellectual property of other coaching/training resources I might provide you with, you agree not to disperse or reuse the coaching/training materials, I may give you unless you have my written permission and/or the written permission of the source of that intellectual property.