Appointment Request

Kids First 4 Ever Appointment Request & Coaching Release of Liability

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Name *

First

Last

Email *

Phone Number *

Coaching Type *

Desired Date for Appointment *

What are your coaching goals? *

Wellness Coaching is a service that provides personal coaching to specific individuals. The client and parent is aware that coaching is in no way to be construed or substituted as psychological counselling, diagnosing, a medical treatment or recommendations or any other type of therapy or medical advice. Wellness coaching is education and informational. Dr. Paul and DeeDee will do everything they can for you the client to meet your coaching goals. As the client, you understands and acknowledge that the coach will not be liable legally or otherwise, for the actions the client may or may not undertake as a result of the coaching sessions. No assumption of responsibility is made, or given, and the client requesting our services agrees not to hold DeeDee Hoover, Dr. Paul Thomas and Kids First 4 Ever responsible or liable in any form or fashion, for such actions taken of their own accord.

Client and parent (if representing a minor child) agree that coaching services are entirely to give the child or client a space to be heard and share information that may help them. Information shared is not to be considered medical advice. Clients may share what they consider to be diagnoses they have been given, but at no time is the information shared during a coaching session to be considered a diagnosis. We do not diagnose and we do not treat or make treatment recommendations. The client takes full responsibility in the decisions they make after being coached as well as the consequences.

Our coaching does not take the place of mental therapy, counseling or professional diagnosis or treatment in anyway. Coaching is designed to provide a safe space to share, ask questions and talk about anything you want. If you or your child experience our coaching and exchange of information as not helpful or that it reduces your sense of wellness and safety, please let us know immediately. At that point the coaching session will be ended and we will discuss the concerns you have to see if we can assist you in finding the support that might be a better fit for you.

Child Name *

Date of birth *

Parent Name *

First

Last

Date *

By clicking SUBMIT you agree to the terms and conditions aforementioned

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Kids First 4 Ever Appointment Request & Coaching Release of Liability

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