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Client Agreement & Consent Form

Welcome, I’m so glad you’re here.

This agreement outlines how we’ll work together and ensures that we’re both clear on the scope of our sessions and your responsibility for your own wellbeing.


My Role as Your Health Coach

  • My role is to support, educate and empower you to make positive changes to your health and lifestyle.

  • All recommendations are tailored to your unique goals and circumstances as discussed in our sessions.

  • I am not a medical professional, and my guidance is not a substitute for medical advice or treatment.

  • I do not diagnose, treat, or cure medical conditions, and any changes to medication or treatment should be discussed with your doctor or healthcare provider.

Your Role as the Client

  • You are responsible for contacting your GP or healthcare professional if you have any medical concerns.

  • You decide whether to inform your healthcare provider that you are receiving health coaching.

  • Please share details of any medical conditions, prescriptions, supplements, or remedies you are taking, this helps me to ensure your plan is safe and effective.

  • If you are ever unsure about your programme or the next steps, please reach out for clarification, I’m here to help.

  • Coaching works best when we stay in communication. Please let me know if you experience any changes or concerns during your programme.

Confidentiality & Data Protection

  • All information shared with me is strictly confidential and handled in line with UK GDPR.

  • Your data is stored securely and only used for the purpose of providing health coaching services.

  • You can request to view, update, or delete your data at any time by contacting me directly.

Agreement

By signing below, you confirm that you understand and agree to the terms of this coaching relationship, and consent to the collection of your personal information for coaching purposes.


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Client Information

Date of birth
Month
Day
Year
Do I have permission to contact your doctor or healthcare provider if necessary?
Yes
No

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