Coaching Practice Policies and Consent Form
This document outlines the coaching practice policies, confidentiality guidelines, and informed consent for coaching and consultation services provided by Dr. Christy Vidrine Bauman, LMHC, MDFT. It includes detailed information regarding appointments, cancellations, social media policies, electronic communication, and termination of services. Additionally, it addresses the coaching process, confidentiality limits, and required disclosures.
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How do I fill this out?
To fill out this form, carefully read each section and ensure you understand the policies and consent outlined. Provide your personal information where required and sign and date the document to indicate your agreement. If you have any questions or concerns, discuss them with the writer before completing the form.
How to fill out the Coaching Practice Policies and Consent Form?
1
Read each section carefully.
2
Provide required personal information.
3
Sign and date the document.
4
Discuss any questions or concerns with the writer.
5
Submit the completed form as instructed.
Who needs the Coaching Practice Policies and Consent Form?
1
Clients seeking coaching services from Dr. Christy Vidrine Bauman need this form to understand the practice policies and provide informed consent.
2
Individuals who want to schedule coaching sessions must complete this form to acknowledge the appointment and cancellation policies.
3
Minors and their parents require this form to understand confidentiality limits and what information may be shared.
4
Clients who use electronic communication for logistics need this document to understand the confidentiality limitations associated with such communication.
5
Anyone terminating the coaching relationship should review this form to understand the reasons for termination and possible referral options.
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What are the instructions for submitting this form?
Submit the completed form to Dr. Christy Vidrine Bauman through one of the following methods: Email: drbauman@example.com, Fax: (123) 456-7890, or Physical Mail: 332 Purple Finch Rd. Brevard, NC 28712. Ensure that all required fields are filled out, and the form is signed and dated. Review the form for accuracy before submission to avoid any delays or misunderstandings. If emailing or faxing the form, confirm receipt with the recipient.
What are the important dates for this form in 2024 and 2025?
The important dates for this form include the start date of the coaching relationship, which should be specified on the form, and any subsequent dates for scheduled coaching sessions. Clients must provide at least 24-hours notice for cancellations to avoid a late cancellation fee. Please ensure these dates are clearly marked and adhered to.
What is the purpose of this form?
The purpose of this form is to outline the practice policies, confidentiality guidelines, and obtain informed consent for coaching and consultation services provided by Dr. Christy Vidrine Bauman, LMHC, MDFT. It serves as a contractual agreement between the client and the coach, ensuring both parties understand the expectations and responsibilities involved in the coaching process. The form also addresses the procedures for appointments, cancellations, termination of services, and confidentiality limits. By completing this form, clients acknowledge and agree to the terms and conditions outlined, allowing for a transparent and effective coaching relationship.
Tell me about this form and its components and fields line-by-line.
- 1. Practice Policies: Contains details regarding appointments, cancellations, social media, telecommunication, and electronic communication policies.
- 2. Confidentiality: Outlines the limits of confidentiality, including scenarios where confidentiality may be breached.
- 3. Informed Consent: Requires the client to acknowledge and consent to the coaching and consultation services provided.
- 4. Termination of Services: Explains the conditions under which the coaching relationship may be terminated.
- 5. Signature and Date: Requires the client to sign and date the form to indicate their agreement to the policies and consent.
What happens if I fail to submit this form?
Failure to submit this form can result in the inability to schedule or continue coaching sessions with Dr. Christy Vidrine Bauman. It is crucial to complete this form to acknowledge and consent to the policies and procedures of the coaching practice.
- Inability to Schedule: Without submitting the form, clients cannot schedule coaching sessions.
- Discontinuation of Services: Services may be discontinued if the form is not submitted as required.
- Lack of Informed Consent: Failing to provide informed consent can lead to misunderstandings and lack of clarity regarding the coaching process.
How do I know when to use this form?
- 1. Starting Coaching: When beginning a new coaching relationship with Dr. Bauman.
- 2. Updating Policies: When there are updates to the coaching policies that require client acknowledgment.
- 3. Consent Renewal: When renewing consent for continued coaching services.
- 4. Confidentiality Agreement: When establishing or updating confidentiality agreements.
- 5. Terminating Services: When discussing the termination of coaching services.
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