I hereby acknowledge and agree:
1. The purpose of Wellness Coaching is to improve the overall health, vitality and well-being of the body through nutritional education and the use of natural foods and non-medicinal nutritional supplements. The Eco Wellness Coach, Kelly Bonanno, does not diagnose diseases, disorders or conditions.
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.
2. The Eco Wellness Coach, Kelly Bonanno, is not a licensed Dietitian, Naturopathic Doctor or Medical Physician.
3. Client is responsible for creating and implementing his/her own physical, mental and emotional well-being, decisions, choices, actions and results. As such, the Client agrees that the Coach is not and will not be liable 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.
If the Client is under the care of another counselor, therapist, psychologist, psychotherapist or mental health professional, please let the Coach know the nature of the work being done. It would also be advised that the Client lets this mental health care provider understand the nature and extent of the coaching relationship agreed upon by the Client and Coach.
4. Client understands that coaching is not to be used as a substitute for professional advice by legal, mental, medical or other qualified professionals and will seek independent professional guidance for such matters. If Client is currently under the care of a mental health professional, Coach will recommend that Client inform the mental health care provider.
5. Client agrees to communicate honestly, be open to feedback and assistance, and create the time and energy to participate fully in the program.
6. As part of the Wellness Coaching Services, I may be asked to provide information concerning my physical habits, medical history, moods, energy levels, likes and dislikes, lifestyle and diet. This information is collected to enable the Eco Wellness Coach to: (i) assess my knowledge of nutrition, (ii) education me about the benefits of sound nutritional practices and (iii) recommend dietary changes to improve my general health, vitality and overall well-being. The Eco Wellness Coach, Kelly Bonanno will hold this information in confidence and will not release or disclose this information to any other person, without my prior consent, except as required by applicable law.
7. If the Eco Wellness Coach, Kelly Bonanno, suspects the existence of disease, disorder or condition, I will be informed of this suspicion. However, I acknowledge this is not a diagnosis or conclusion about the state of my health and that I am directed to promptly consult a licensed Physician or Naturopath about any suspected problems.
8. Should I request the Eco Wellness Coach, Kelly Bonanno, to recommend dietary changes and/or nutritional supplements to enhance my body’s natural ability to resist and/or overcome a known disease, disorder or condition, it is my responsibility to disclose the nature of the disease, disorder or condition and all other relevant details to the Eco Wellness Coach, Kelly Bonanno. If I have not previously consulted a licensed Physician or Naturopath about this disease, disorder or condition, I acknowledge that I am directed to promptly do so. I am not to alter or discontinue treatments prescribed by a licensed Naturopath, Physician or other licensed health professional without consulting the individual who prescribed the treatment.
9. In providing Wellness Coaching Services to me, the Eco Wellness Coach, Kelly Bonanno, is relying upon the truth, accuracy and completeness of all information I have provided to her. Any recommendations I follow for changes in diet, including the use of nutritional supplements, are entirely my responsibility.
10. Kelly Bonanno is in no way liable for my health or safety.
11. In consideration of my participation in the Wellness Coaching Services, I hereby accept all risk to my health, including injury or death that may result from such participation and I hereby release the Eco Wellness Coach, Kelly Bonanno, on my behalf and on behalf of my personal representatives, estate, heirs, next of kin, and assigns from any and all costs, claims, causes of action and damages arising from any and all illness or injury to my person, including my death, that may result from or occur as a result of my participation in the Wellness Coaching Services, whether caused by negligence or otherwise.
12. 24 hours is required for cancelling appointments. Appointments cancelled within 24 of your appointment time, you will be billed at 50%.
13. I understand that any therapies I undertake at Kelly Bonanno are undertaken of my own free will. I accept that the ultimate responsibility for my health care is my own and that Kelly Bonanno is here to support me in this. I understand that my practitioner reserves the right to determine which cases fall outside their scope of practice, in which event an appropriate referral will be recommended. I hereby agree to assume full responsibility for any manner of loss, injury, claim or damage whatsoever, known or unknown, incurred as a result of same and I, my heirs, executors, administrators or assigns for any loss, injury, claim or damage sustained as a result of my attendance and/or participation. I have read the above release and waiver of liability, and fully understand its contents and voluntarily agree to the terms and conditions stated.
SERVICES
This agreement, between Eco Wellness Coach, Kelly Bonanno and the above-named client, will begin on 10/31/20 with potential to continue until terminated by Client or Coach.
Coaching sessions are conducted by phone or Zoom based upon what works best for both parties. Coach may record sessions for review after the session and will keep them confidential.
The calls/meetings shall be 45-60 minutes in length. If rates change before this agreement has been signed and dated, the prevailing rates will apply.