Agreement for Collaboration
Sign in to Google to save your progress. Learn more
Email *
This Agreement is entered into by and between: Chris Davis, PhD (coach), 804 Henley Circle, Davenport, Florida 33896 and (name and address)
whereby Coach agrees to provide Coaching Services for Client focusing on the topics/results/outcomes/goals as developed through this collaborative process.

Description of Coaching: Coaching is partnership (defined as an alliance, not a legal business partnership) between the Coach and the Client in a collaborative process that inspires the client to maximize personal and professional potential. It is designed to facilitate the creation/development of personal, professional or business goals and to develop and carry out a strategy/plan for achieving those goals.


1) Coach-Client Relationship

 

A. Client is solely responsible for creating and implementing his/her own physical, mental and emotional well-being, decisions, choices, actions and results arising out of or resulting from the coaching relationship and his/her coaching calls and interactions with the Coach. As such, the Client agrees that the Coach is not and will not be liable or responsible for any actions or inaction, or for any direct or indirect result of any services provided by the Coach. Client understands coaching is not therapy and does not substitute for therapy if needed, and does not prevent, cure, or treat any mental disorder or medical disease.

 

B. Client further acknowledges that he/she may terminate or discontinue the coaching relationship at any time.

 

C. Client acknowledges that coaching is a comprehensive process that may involve different areas of his or her life, including work, finances, health, relationships, education, and recreation. The Client agrees that deciding how to handle these issues, incorporate coaching principles into those areas and implementing choices is exclusively the Client’s responsibility.

 

D. Client acknowledges that coaching does not involve the diagnosis or treatment of mental disorders as defined by the American Psychiatric Association and that coaching is not to be used as a substitute for counseling, psychotherapy, psychoanalysis, mental health care, substance abuse treatment, or other professional advice by legal, medical, or other qualified professionals and that it is the Client’s exclusive responsibility to seek such independent professional guidance as needed. If Client is currently under the care of a mental health professional, it is recommended that the Client promptly inform the mental health care provider of the nature and extent of the coaching relationship agreed upon by the Client and the Coach.

 

E. The Client understands that in order to enhance the coaching relationship, the Client agrees to communicate honestly, be open to feedback and assistance and to create the time and energy to participate fully in the program.

 

2) Fees

 

There are no upfront fees or financial commitments for participating in this agreement. At any time, the Client may provide a gratuity or gift of their choice in any amount they deem appropriate, as long as receiving such a gratuity or gift would not create a conflict of interest for the Coach. The Client should verify whether an action would represent a conflict for the Coach in advance.

 

3) Termination

 

Either the Client or the Coach may terminate this Agreement at any time without providing cause or reason.

 

4) Procedure

 

The Client can contact the Coach any time by email, text, or phone call. Responses will generally be within 48 hours, but no guarantees are provided.

 

Meetings can be scheduled using the scheduling link available at: https://chrisdavsiphd.com

 

Both Coach and Client agrees that it is each’s responsibility to notify the other as soon as possible in advance of the scheduled calls/meetings if the session needs to be changed or cancelled.

 

Coaching may be provided on an ad hoc basis or using a structured plan and schedule, as agreed to by both Coach and Client.

 

5) Confidentiality

 

This coaching relationship, as well as all information (documented or verbal) that the Client shares with the Coach as part of this relationship, is bound by the principles of confidentiality. However, please be aware that the Coach-Client relationship is not considered a legally confidential relationship (like the medical and legal professions) and thus communications are not subject to the protection of any legally recognized privilege. The Coach agrees not to disclose any information pertaining to the Client without the Client’s written consent. The Coach will not disclose the Client’s name as a reference without the Client’s consent.

Confidential Information does not include information that: (a) was in the Coach’s possession prior to its being furnished by the Client; (b) is generally known to the public or in the Client’s industry; (c) is obtained by the Coach from a third party, without breach of any obligation to the Client; (d) is independently developed by the Coach without use of or reference to the Client’s confidential information; or (e) the Coach is required by statute, lawfully issued subpoena, or by court order to disclose; (f) is disclosed to the Coach and as a result of such disclosure the Coach reasonably believes there to be an imminent or likely risk of danger or harm to the Client or others; and (g) involves illegal activity. The Client also acknowledges his or her continuing obligation to raise any confidentiality questions or concerns with the Coach in a timely manner.

 

6) Limited Liability

 

Except as expressly provided in this Agreement, the Coach makes no guarantees, representations or warranties of any kind or nature, express or implied with respect to the coaching services negotiated, agreed upon and rendered. In no event shall the Coach be liable to the Client for any indirect, consequential, or special damages. Notwithstanding any damages that the Client may incur, the Coach’s entire liability under this Agreement, and the Client’s exclusive remedy, shall be limited to the amount actually paid by the Client to the Coach under this Agreement for all coaching services rendered through and including the termination date.


Signatures

Christopher Davis, PhD

Client Electronic Signature
Date
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Dr. Chris Davis. Report Abuse