Oxford Coaching Success
Executive & Life Coaching
for Men in Atlanta & Globally

Integrated Coaching Contract during Travel and Out-of-State Ventures

Description of Coaching: Coaching is a 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 maximize 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. 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.

 Coach-Client Relationship
A. 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 the Coach is not and will not be liable or responsible 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. 

B. Client further acknowledges that he/she may terminate or discontinue the coaching relationship at any time. 

C. 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. 

D. 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 counseling, 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. If Client is currently under the care of a mental health professional, it is recommended that the Client promptly inform the mental health care provider of the nature and extent of the coaching relationship agreed upon by the Client and the Coach. 

Confidentiality 

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 recognized privilege. I agree not to disclose any information pertaining to the you without your consent. 

Cancellation Policy Client agrees that it is the Client's responsibility to notify 48 hours in advance of the scheduled calls/meetings to avoid being charged for the appointment. 

 

Signature__________________________________________________________                   Date_______________

 

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In addition to clinical psychotherapy, Dr. David is also a trained and experienced coach for men needing additional non-clinical coaching in the following areas: 

• Life Skills Coaching

• Executive Coaching

• Career Coaching

• Relationship Coaching

• Graduate Academic & College Coaching 

• Sobriety Coaching

 

Dr. David uses three foundational coaching modalities: psychodynamic coaching, transactional analysis coaching, and Executive/Life coaching as an adjunct to clinical psychotherapy whenever an individual needs supportive services while traveling or working outside of Georgia. 

 

As a part of my personal development, I, _________________________ (print your name), consent to switching to coaching activities and skills development whenever I am out of the State of Georgia for personal travel, business travel, academic endeavors, vacations, etc. 

 

_____(Initial) I also agree to contacting local 911 services whenever needed in addition to contacting medical professionals, mental health counselors, and psychiatric facilities whenever in crisis while traveling or working during out-of-state periods.  I will fully cooperate with Dr. David by contacting local mental and medical health services whenever deemed necessary.  I understand that failure to contact local health services will be deemed as therapy interfering behaviors and may be grounds for my discharge from Dr. David’s services.  

 

By signing this contract agreement, I am consenting to the above coaching services:

 

(Print name:)______________________________________ Date: ____________________

 

Signature: __________________________________________________________________