This document is intended to provide important information to you regarding your coaching. Please read the entire document carefully and be sure to ask your coach, Greg Dawson II, LCSW, ASOTP, any questions that you may have regarding its contents.
Information about Your Coach
Greg has a Bachelors degree in Psychology (Neuroscience) and Masters is Social Worker. He is also a licensed Clinical Social Worker in the state of Texas and Florida. This means that he has completed a Master’s Degree in Social Work, provided 3000 supervised hours of therapy and related professional activities and passed two licensing exams. Licensed Clinical Social Workers are licensed and regulated in the state of Texas State Board of Social Work Examiners.
This agreement is for Coaching, not Therapy. While coaching can work with issues such as identifying and reaching life goals, and changing the behaviors that aren’t working well for you, coaching cannot deal with issues such as depression and anxiety. For issues such as these, you must see a Physician or Licensed Mental Health Professional in your location. Although you as a client may have a diagnosis, sex coaching is not intended as a treatment or cure for mental health and/or a mood disorder diagnosis. By signing this agreement, you are agreeing that you understand the difference in these two functions and you will get appropriate professional help for mental health issues if necessary.
Please feel free to ask questions at any time about your coach’s background, experience and professional orientation.
Fees and Insurance
The fee for service is $150 for the assessment, $70 per individual, and $200 per couple for a 30-minute video session. Any time longer than 30 minutes will need to be discussed with the Sex Coach for fees payable per session . Fees are payable at the time that services are rendered. Because coaching is not a medical treatment, typically insurance will not cover the cost. Some employers may cover some of the cost of coaching. It is your responsibility to pay for coaching and get reimbursed by your employer if that is the case.
All information obtained in the course of the professional service is confidential unless there is a compelling professional reason for its disclosure. Your coach will disclose confidential information without a specific release if it is necessary to prevent foreseeable imminent harm to the client or another. In all circumstances, coaches will be judicious in the amount of information that is disclosed. Coaches may disclose confidential information without the consent of the client only as mandated or permitted by law. When possible, coaches inform clients about the disclosure of confidential information and possible ramifications before the disclosure is made. Coaches will only disclose confidential information to third parties with the appropriate written consent. Coaches must disclose certain confidential information as required by law or if the confidential information may put the client or others at risk of harm or compromise their well-being.
Appointment Scheduling and Cancellation Policies
In order to cancel or reschedule an appointment, you are expected to notify your coach at least 24 hours in advance of your appointment. If you do not provide at least 24 hours notice in advance, you are responsible for payment for the missed session. In the event of a medical emergency or an emergency involving a threat to your safety or the safety of others, please call 911 or the appropriate emergency service to request assistance. Your coach is not licensed to handle these matters.
About the Coaching Process
Sessions will be held over a secure telehealth platform. It is your coach’s intention to provide services that will assist you in reaching your goals. Based upon the information that you provide to your coach and the specifics of your situation, your coach will provide recommendations to you regarding coaching. Coaches and clients are partners in the coaching process. You have the right to agree or disagree with your coach’s recommendations.
This form can be signed and emailed to me, or if you are accessing this form through the website, please send an email to email@example.com signed and saying “I have read and agree with the terms of coaching stated in the Coaching Informed Consent dated” 08/31/2020.”
Please ask your coach to address any questions or concerns that you have about this information before you sign! Please retain a copy of this agreement.