I agree to the following:

Private Coaching Agreement

Coaching is a goal-based approach that combines a client's desired outcomes with the action steps necessary to achieve them. Parent Coaching practices involve setting intentions, exploring parenting mindsets, developing skills, and refining strategies. I will hold you accountable for working toward your goals while offering unyielding support and encouragement. However, you are ultimately responsible for your own progress.

Coaches do not conduct clinical assessments, offer diagnoses, recommend medications, or employ therapeutic modalities. Parent coaching often requires clients to reflect on the past; however, we use this reflection only in the service of the present and future. Support with past trauma, ongoing family-of-origin issues, or clinical issues such as mental health challenges, disordered eating, self-harm, substance use, and addiction requires a licensed mental health specialist. While coaching can be transformative, it is not a substitute for therapy.

I do not provide emergency or crisis management support. If you need urgent support, call the National Crisis Hotline at 988 or go to your nearest emergency room.

Private Coaching includes any meeting with Jessica, including one-on-one meetings, family meetings, and care group meetings, whether online or in person.

Security, Confidentiality & Privacy:

– Confidential information refers to any information shared in private coaching sessions that relates to the client and is reasonably considered private or proprietary and is not generally known to outsiders. Information is considered confidential when the release of that information could cause harm to the client.

– All private coaching sessions will be confidential and will not be shared with anyone outside the coaching session except in the following circumstances:

-Express written consent is provided.

-The information shared constitutes a threat to the safety of the client, family members, or members of their community.

-There are reasons to suspect abuse or neglect.

-A court of law issues a valid and enforceable subpoena for information.

– Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), you have certain rights to use and disclose your protected health information. By agreeing to these terms, you acknowledge that coaching is a non-medical intervention, and I do not exclusively use Health Insurance Portability and Accountability Act of 1996 (HIPAA) compliant software. I take your privacy seriously, so my practice is HIPAA-informed but may not be fully HIPAA compliant. All information is stored on secure, password-protected applications, including Google Drive, Gmail, and Zoom.

– It is understood and agreed that you will receive emails from Jessica Dickson & Cari Newman Coaching, including coaching-related, educational, and (occasional) promotional material.

– Jessica Dickson + Cari Newman Coaching uses Square for financial transactions. Square holds an SOC 2 Type 2 Certification to ensure it safeguards client data and provides secure and reliable service. You can read more about it here. By agreeing to these terms, you acknowledge that Jessica Dickson and Cari Newman Coaching do not have access to your financial information and cannot be held accountable for any possible future data breaches.

Record Keeping:

– I do not record sessions without clients' express and written consent, and strictly prohibit clients from recording our sessions with very limited exceptions. Please make arrangements with me in advance if you wish to record a session.

– I take password-protected notes during sessions. These notes are:

- For my use in planning, organizing, and documenting sessions.

- For use or disclosure only when required by law or to avert a serious threat to the health and safety of others.

- For my use in defending myself in legal proceedings.

– At the conclusion of services, I will retain your file for a period of six years, after which the file will be permanently closed. At the expiration of the six-year period, the file will be destroyed unless you notify me in writing that you want to take possession of it. I reserve the right to charge administrative fees and costs associated with retrieving, copying, and delivering files.

Scope, Duration & Financial Investment:

– Private coaching includes:

Six 55-minute private coaching sessions, approximately 1 week apart- totalling no more than 8 weeks

Email access to Jessica between sessions (replies will be made within one business day whenever possible)

Communication with other service providers, as outlined in the next section

– Clients may terminate or discontinue the coaching relationship at any time. The agreement will terminate at the end of the current month’s billing period. Please allow at least seven days for your termination to be processed.

– I do not offer refunds for paid services, including unused sessions paid for as part of a subscription or package.

– Coaching is not covered by health insurance, nor is it eligible as an FSA or HSA expenditure. I do not work directly with insurance companies or provide superbills.

Communication with Other Service Providers:

– If you want me to communicate with other professionals working with your family, please complete a Consent for Release of Information form (link in your Welcome Letter and by request). I require a signed release before I speak with any outside medical, educational, or mental health providers.

– Up to 60 minutes of consultation time with other professionals on your care team is included for each 6-week commitment to private coaching. Consultation beyond these parameters is $200/hour, billed in half-hour increments.

– I regularly consult with other coaches and mental health professionals to increase positive outcomes for my clients, enrich my practice, and ensure my ongoing development. In agreeing to these terms, you consent to my sharing information about you in this limited context without using your name or identifying characteristics.

Scheduling:

– For private coaching, the Client will choose the day and time for appointments within the Coach’s windows of availability.

– The Client is responsible for scheduling sessions. I am not responsible for reminding you about sessions, even if they are at risk of expiring.

– The session will be considered used if you do not attend a scheduled appointment or give less than 12 hours' notice for cancellation. I will make every effort to reschedule with you within the same calendar month, but if I'm unable to do so, the session will expire.

Boring but Important:

– It is understood and agreed that the coach will not be liable to the client or any agent or associate of the client for any error or act of omission done in good faith that is within the scope of authority conferred or implied by this agreement.

– It is understood and agreed that the coach cannot predict or guarantee the outcome of the coaching services. You agree to assume complete and total responsibility for decisions you make about parenting approaches and strategies before, during, between, and after coaching sessions.

– It is understood and agreed that the coach will not participate in any legal disputes related to the client, either while the client is engaged in parent coaching or after coaching terminates. You agree not to involve the coach in any way with the court system, attorneys, guardians ad litem, psychological/ psychiatric evaluators, or alcohol or drug evaluators; not to include the coach on witness lists; and not to involve the coach in any other form of contact with the legal system.

– If the client believes it necessary for a subpoena to be issued for the coach in connection with a legal matter, the client agrees to pay the coach for expert witness fees of $400 per hour for phone, video, or in-person communication, court appearances, preparation time, paperwork preparation, travel time, and wait time. The client will be billed in advance.

– It is understood and agreed that assessing parental fitness is not within the scope of parent coaching.

– In the event a dispute arises out of or in connection with this agreement, all parties will attempt to resolve the dispute through friendly consultation.

– If the dispute is not resolved within a reasonable period, then any outstanding issues may be submitted to mediation per any statutory rules of mediation. If mediation is unavailable or is not successful in resolving the entire dispute, any outstanding issues will be submitted to final and binding arbitration under the Federal Arbitration Act, 9 U.S.C. 1 et seq. (“FAA”). Three arbitrators shall be appointed if the aggregate amount of all disputes of $1,000,000 or more, but only one arbitrator if the dispute is for a lesser amount. If three arbitrators, then each party shall select one, and the two arbitrators shall select a third. Arbitration shall be conducted in accordance with Rules of the American Arbitration Association (“AAA”) and follow settled law in rendering a decision. Where the Rules are silent, the federal rules of civil procedure shall apply as applicable in the Northern District of Georgia. Absent written agreement of both parties, this Arbitration provision does not apply to enforcement of Confidentiality provisions.

– Each party to this agreement will indemnify and hold harmless the other party, as permitted by law, from and against any claims, losses, damages, liabilities, penalties, punitive damages, expenses, reasonable legal fees, and costs of any kind or amount whatsoever to the extent that any are directly or proximately caused by the negligent or willful acts or omissions of the indemnifying party or its agents or representatives and which result from or arise out of the indemnifying party's participation in this agreement. This indemnification will survive the termination of this agreement.

– If any of the provisions of this agreement are held to be invalid or unenforceable in whole or in part, all other provisions will nevertheless continue to be valid and enforceable with the invalid or unenforceable parts severed from the remainder of this agreement.

By agreeing to these terms, I accept and commit to all four pages of this agreement in its entirety. I agree to its terms and conditions and acknowledge that any/all payments made are reserving a non-refundable spot in a coaching program/experience. I am responsible for payment in full, regardless of participation.

Jessica Dickson

Private Coaching Package

What's Included: