AGREEMENTS AND WAIVER

Please read all of the information below and fill out and submit the form at the bottom of this page before your first full (paid) session with Leslie.

 

AGREEMENTS AND INFORMATION

The relationship between coach and client is co-creative, meaning that we are equals and both have an active role. I do not have any answers for you -- I support you and guide you to discover your own inner knowing and solutions, using the tools of PSYCH-K.
Willingness, shared expectations, clear agreements, and a commitment to keep agreements are an essential foundation for any relationship. To help build such a foundation for our work together, please read the following carefully.
Your Role
To come to our session with an idea of some issue or item that you'd like to work with, bringing your full curiosity, awareness, and wonder.
My Role
I will listen closely to you, respond to what I hear, and ask questions. If I hear something in your voice or language that sparks an intuitive thought, I'm likely to ask you about it. If I'm not on target, just tell me. I will also guide you through the PSYCH-K process and specific balances and do my best to answer any questions you have.
Training & Background
I am not a licensed psychotherapist. I do not provide medical diagnosis or treatment of mental or emotional disorders or addiction. I was trained as a PSYCH-K professional in 2010.
Appointment Time
Your appointment, and therefore your responsibility to pay, begins at our agreed upon appointment time, with or without your actual presence.
Cancelling an Appointment
Please cancel or reschedule at least 24 hours before the scheduled appointment. If you are more than 15 minutes late to an appointment and I have not heard from you, I will assume we are not having our appointment. You will be charged half of the session for not showing up or canceling / rescheduling a session with less than 24 hours' notice. With more than 24 hours' notice, you will not be charged.
Payment
Payment is due within 24 hours after each session, unless other arrangements are made. Payment should be made through PayPal, to behomecoaching@gmail.com (Leslie's account).

I take 100% responsibility for my complete understanding and agreement to all of the information contained in this information. I initiate this relationship with the intention to honor these agreements.

Client Waiver

The undersigned hereby acknowledges that he/she/they is engaging in coaching with Leslie Thomas. Leslie Thomas is none of the following: licensed physician, MFT, MFCC counselor, psychologist, psychiatrist and will not be giving treatments as such. Leslie Thomas will be happy to refer you to any of the aforementioned professionals for traditional treatment at any time she or you chooses.

I hereby understand that the techniques used in coaching are not a medical treatment and that they are not represented, either expressed or implied, as medical treatment.

I hereby waive all rights to any cause of action against Leslie Thomas stemming out of the information that I receive from her, the techniques taught by her or the tools supplied by her. This Waiver also binds my agents, assignees or beneficiaries. I hereby acknowledge that I am signing this Waiver of my own free will. I understand it fully and am entering into the Waiver agreement voluntarily.
This Waiver is governed by the laws of the States of California and Oregon.

Name *
Name
Date of First Session
Date of First Session
Please check this box if you have read all of the information above and agree to all of it. *