Dr Supriya McKenna (The Life Doctor) Coaching and Facilitation Agreement
This Agreement is entered into on ………………………………..20….. by and between: (1) Dr Supriya McKenna (the Coach) and ………………………………………...................................................(the Client) of (address) ............................................................................................................................................................…………………………………................................................................... whereby the Coach agrees to provide Coaching for the Client focusing on the following topics/results/outcomes/goals attached to this Agreement as Schedule A.
Description of Coaching: Coaching is partnership (defined as an alliance, not a legal business partnership) between the Coach and the Client in a thought-provoking and creative process that inspires the client to maximise 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. The Coach agrees to maintain the ethics and standards of behaviour established by the International Coach Federation “(ICF)” (Coachfederation.org/ethics). It is recommended that the Client review the ICF Code of Ethics and the applicable standards of behaviour.
B. The 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 neither the Coach nor any of the Coach’s employees or directors is nor will be liable or responsible for any actions or inaction, or for any direct or indirect result of any services provided by the Coach. The Client acknowledges that 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.
C. The Client further acknowledges that he/she may terminate or discontinue the coaching relationship at any time, subject to payment of all outstanding fees.
D. The 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.
E. 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 counselling, 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. The Client warrants that they do not suffer from any physical or mental disability that might affect their participation in the coaching process, and, if they have any substance abuse problem or mental illness, they have consulted with their doctor and other health care professional and been advised that they may participate in the coaching process without risk. The Client agrees that if there is any change in this, they will promptly advise the Coach.
F. 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.
G. The Client acknowledges that although Dr Supriya McKenna is a qualified medical doctor, she is not and will not become their doctor at any time, will not make any medical assessments, diagnoses, treatments or give any medical advice. If the Client has any doubts about this at any time, they will immediately draw them to the attention of the Coach.
2) Services
The Coach agrees to provide and the Client agrees to pay for the Coaching services set out in Schedule A hereto.
3) Fees The agreed fees for the Coaching services are set out in Schedule A.
4) Procedure
The times and dates of any coaching meetings and/or location/method of communication will be agreed by the Coach and the Client. The Client will initiate all scheduled calls and will call the Coach at the following number for all scheduled meetings +44 (0) 7786151003 or by Skype at Supriya McKenna (live:.cid.a689091ffb4e6448) or WhatsApp +44 (0) 7786151003. If the Coach will be at any other number for a scheduled call, the Client will be notified prior to the scheduled appointment time.
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 set forth in the ICF Code of Ethics. 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 recognised 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) Release of Information (Optional, based upon specific situation)
The Coach engages in training and continuing education including ICF, Association of Coaching, The Coaching Academy and General Medical Council. That process requires the names and contact information of all Clients for possible verification. By signing this agreement, you agree to have only your name, contact information and start and end dates of coaching shared with ICF, Association of Coaching, The Coaching Academy, General Medical Council staff members and/or other parties involved in this process for the sole and necessary purpose of verifying the coaching relationship, no personal notes will be shared.
Client Agrees __________________ Client Refuses _________________
According to the ethics of our profession, topics may be anonymously and hypothetically shared with other coaching professionals for training, supervision, mentoring, evaluation, and for coach professional development and/or consultation purposes.
7) Cancellation Policy Client agrees that it is the Client's responsibility to notify the Coach of cancellation 48 hours in advance of the scheduled calls/meetings. Coach reserves the right to bill Client for a missed meeting. Coach will attempt in good faith to reschedule the missed meeting.
8) Record Retention Policy (Optional, if the Coach as adopted such a policy) The Client acknowledges that the Coach will make session notes and keep these confidentially for not less than 5 years.
9) Termination Either the Client or the Coach may terminate this Agreement at any time with not less than 1 week’s written notice. Client agrees to compensate the Coach for all coaching services rendered through and including the effective date of termination of the coaching relationship.
10) 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 costs, damages and expenses 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.
11) Entire Agreement This document reflects the entire agreement between the Coach and the Client, and reflects a complete understanding of the parties with respect to the subject matter. This Agreement supersedes all prior written and oral representations. The Agreement may not be amended, altered or supplemented except in writing signed by both the Coach and the Client.
12) Severability If any provision of this Agreement shall be held to be invalid or unenforceable for any reason, the remaining provisions shall continue to be valid and enforceable. If the Court finds that any provision of this Agreement is invalid or unenforceable, but that by limiting such provision it would become valid and enforceable, then such provision shall be deemed to be written, construed, and enforced as so limited.
13) Waiver The failure of either party to enforce any provision of this Agreement shall not be construed as a waiver or limitation of that party's right to subsequently enforce and compel strict compliance with every provision of this Agreement.
14) Applicable Law This Agreement shall be governed and construed in accordance with the laws of England and Wales, and subject to the exclusive jurisdiction of the English Courts.
15) Binding Effect
This Agreement shall be binding upon the parties hereto and their respective successors and permissible assigns.
Client name:………………………………
Client address:………………………………………………………………………………………………………
Signed by the Client:……………………………………………………….
The Client agrees to have their name, contact details and sensitive personal data retained by the Coach. If the Client wishes to remove this consent at any time, please email connect@thelifedoctor.org
Signed…………………………………………….
The Client agrees to receive from the Coach information and details of events that the Coach considers may be of interest to the Client.
Signed for and on behalf of ‘The Life Doctor’
by Dr Supriya McKenna ……………………………………………….
Please sign both copies and return one copy of this Client Agreement prior to the first scheduled coaching meeting. Retain one copy for your records and email or the other to:
Connect@thelifedoctor.org
Schedule A
Coaching services
Coaching and mentoring related to narcissistic abuse.
Fees
To be confirmed