Coaching Informed Consent Agreement
Coaching Informed Consent Agreement
Hi! Please read this, and at the bottom, enter your name, the date, and sign it to show you have read this.
Informed Consent and Coaching Agreement
Kate Mageau
Writing, ADHD, and Career Coach
author@katemageau.com
www.katemageau.com
Welcome
Thank you for choosing to work with me as your coach. This document explains the scope of our work together and establishes mutual understanding and clear expectations. I specialize in coaching for:
- Writing books, especially memoirs
- Navigating ADHD challenges
- Career clarity, transitions, and professional development
While I am also a licensed mental health therapist, this coaching relationship is a **separate service**. In coaching, I am not acting in a clinical role and will not diagnose, treat, or manage mental health conditions. If therapy is needed, I will refer you to a qualified therapist, which may include myself under a separate agreement.
About Coaching
Coaching is a dynamic, forward-focused partnership designed to help you achieve your goals and create the life you want. It emphasizes clarity, strategy, and personal agency. I may offer tools, exercises, and insights, but ultimately, you are in control of your own life.
This is a collaborative process. You set the goals, and I support you in working toward them. If at any point I believe your goals would be better supported by a therapist, medical professional, or other provider, I will let you know and refer accordingly.
Scope & Boundaries
Coaching is not therapy, medical care, or crisis support. It is:
- Goal-oriented and future-focused
- Designed for personal or professional growth
- Centered on collaboration, insight, and accountability
It is not:
- A substitute for mental health treatment
- Intended to diagnose or treat mental illness
- Emergency or crisis care
If a clinical need arises, I will refer you to appropriate resources. Coaching is most effective when we're both clear about its purpose and limits.
Confidentiality
Everything we discuss in coaching sessions is treated with care and respect. I will not share your information without your permission, except in rare cases where there is an imminent risk of harm or where legally required. Because coaching is not a licensed healthcare service, confidentiality is not protected under state law in the same way therapy is.
If I consult with other professionals (without sharing identifying details), it is only to improve my coaching service to you. If we run into each other in public, I will respect your privacy and only acknowledge you if you choose to do so.
I use HIPPA guidelines to protect your privacy. Email is not HIPPA secure, and should only be used for scheduling.
Communication & Technology
Sessions are held online via Google Meet through Google Workspace. While I take precautions to protect confidentiality, there is always some risk in using the internet. Email (author@katemageau.com) can be used for scheduling, but is not suitable for crisis or in-depth conversations.
Fees & Payment
My current coaching rate is $175 per 50-minute session. Payment is due at the time of service. This rate is subject to change in the future, though I will provide at least one month’s notice before changing rates.
If you need to cancel or reschedule a session, please give at least 24 hours’ notice. Late cancellations or no-shows will be charged the full session fee.
Emergency Situations
As a coach, I do not offer crisis support. If you are in danger or in need of emergency mental health assistance, please use one of the following resources:
- Call 911 for emergencies
- Call or text 988 for the Suicide & Crisis Lifeline
- Text HOME to 741741 (Crisis Text Line)
- Call 1-800-799-SAFE (National Domestic Violence Hotline)
Termination
You are free to end coaching at any time. I encourage you to let me know so we can have a thoughtful closure conversation. Likewise, if I feel coaching is no longer serving you or your needs fall outside the scope of coaching, I may recommend termination or referral.
Acknowledgment
By signing this agreement, you acknowledge that you understand and accept the nature of coaching services, the boundaries of our work together, and your rights and responsibilities as a client.
I look forward to partnering with you.
Kate Mageau
Writing, ADHD, and Career Coach