Schedule Appointment with C3 - Catherine Clement Coaching

Loading...

First Name *

Last Name *

Phone *

Your E-Mail Address *

Notes to Business (your address or any special notes about your order)

Item	Quantity	Total
Life Coaching, 2x a Month	x $250.00	$250.00 per month
Total: $250.00	Coupon:

Services:

The services provided by Catherine Clement through C3 Connected Coaching, is coaching delivered face to face, via phone, video conferencing or email.

• Coaching will cover topics and areas jointly agreed upon by both parties and may address a variety of issues including: specific personal goals, projects or issues with life balance, nutrition and fitness or general personal or professional conditions.

• The goal of coaching is to facilitate the development of personal goals and to help identify and carry out strategies for achieving said goals.

• The following may be used as part of the coaching process to achieve the client’s goals: identification and clarification of values and goals, brainstorming, action plans, behavioral interventions and reframing.

The client understands:

1. That coaching is a comprehensive process that may involve all areas of life: relationships, personal values, work, finances or health;

2. That the client decides how to handle these issues, how to incorporate coaching in those areas of life and how to implement their choices;

3. That the client is ultimately responsible for their growth and accountable for the progress they make through coaching.

Session:

Initial appointment is considered part of the Meet and Greet Package, which includes the coach/coachee first appointment and subsequent 2 sessions at the agreed upon rate, as listed on the C3 Connected Coaching website. In this Meet and Greet package, the client agrees to complete all necessary forms/questionnaires/surveys before the initial appointment is scheduled.

Coaching sessions will be held at a mutually agreed upon time. It is the client’s responsibility to make sure they are available and present (in person or via phone/video) at the agreed-upon time.

If the session is to be held by phone or videoconference, the client is responsible for contacting the coach at the session time at an agreed upon number.

If the client cannot make a scheduled session time, they must contact C3 Connected Coaching at least 48 hours in advance. Late cancellations and no shows will be charged in full. Because the time domain of most coaching sessions is brief, tardiness is not an option and a session will be considered a no show if the client does not contact the coach or show up for a session within 10 minutes of their scheduled time.

Communication between sessions will be via email or voicemail should coachee or coach need to communicate before or after a session.

Either party can terminate the coaching relationship at any time and for any reason by providing two weeks’ notice in writing by mail or email.

Coaching fees are clearly outlined in the Services section of C3 Connected Coaching website and will be discussed prior to signing this agreement. Payment is due in advance of services, and may be made by check, cash or credit card. The coachee will keep a credit card on file in order to process agreed upon payments as well as no-show and late cancelation fees.

Coaching Scope of Practice:

Coaching is a professional partnership between you, the client and the coach. It assumes that the client is a healthy, functioning, and self-empowered individual. The client is the expert in his/her life, and as such is fully responsible for selecting goals, determining action plans and taking the necessary steps to effect their desired change. As the coach understands that results in coaching are a matter of the client’s intentions, choices and actions. The coach’s role is to:

• “Discover, clarify, and align with what the client wants to achieve

• Encourage client self-discovery

• Elicit client-generated solutions and strategies

• Hold the client responsible and accountable”

Confidentiality:

C3 Coaching will make every effort to maintain all information shared with private and confidential except as required by law. To maintain privacy all written records will be destroyed at the conclusion of our work together, unless the client makes a specific request to have the records handed over to them.

It is impossible to guarantee the confidentiality of client information that may be transmitted electronically (i.e., electronic mail and other information stored on computers connected to the internet, by cordless or mobile telephones and similar telecommunication and computer equipment). Therefore, it is agreed between the client and the coach that unless the client utilizes encryption and other forms of security protection, they waive any action legal or otherwise against C3 Coaching and its employees and hold the coach harmless for any interception of information resulting from the use of the above-mentioned equipment.

If it becomes clear in our work together that you or someone else is at risk of harm or death I expect that appropriate steps will be taken to address the risk these steps may include:

• Contacting Child or Adult Protective Services

• Securing the support of an emergency contact

• Contacting the appropriate emergency services to prevent harm befalling you or someone else.

No action will be taken without prior communication and deliberation with the client about the best approach to maintain safety.

Release of Information:

Unless otherwise agreed upon, coachee agrees that the hours accumulated during the coach/coachee agreement/relationship can be used as disclosure of coaching hours completed for certification, along with contact information and recorded sessions. This is to solely be used for professional purposes.

Code of Ethics:

Coach agrees to maintain the ethics and standards of behavior set by the International Coaching Federation “ICF” (www.coachfederation.org/ethics).

Acknowledgements:

Although both coaching and psychotherapy utilize knowledge of human behavior, motivation, behavioral change, and interactive counseling techniques, there are major differences in the goals, focus, and level of professional responsibility.

Disclaimer:

Statements used in this coaching agreement are taken directly from the ICF’s website to be congruent in language, ethics and structure.

Citations:

International Coaching Federation, https://coachingfederation.org/