New Client Intake Form

 Please answer the following questions to the best of your abilities. These questions are to help the process. This information is held to the same standards of confidentiality as our sessions. 

Confidentiality Statement:

As a coach, I am committed to maintaining the privacy and confidentiality of all client information shared during our sessions. I adhere to the strict ethical guidelines and legal requirements regarding client confidentiality. All personal information shared, whether verbal or written, will be kept strictly confidential and will not be disclosed to any third party without your explicit consent, except in cases where it is required by law to protect you or others from harm. However, please be aware that confidentiality has its limitations, and there are situations where I may be obligated to disclose information, such as if there is a risk of harm to yourself or others. In such cases, I will make every effort to discuss this with you beforehand. If you have any concerns or questions about confidentiality, please feel free to discuss them with me. Your trust and privacy are of utmost importance to me, and I am dedicated to providing a safe and confidential therapeutic environment.