Individual Wellness Consent
Informed Consent for Individual Wellness Services
This consent explains the nature and boundaries of one-to-one emotional wellness coaching and practical personal-development support.
Nature and Scope
- Services are emotional wellness coaching, education, guidance, and skills support—not psychotherapy, medical care, psychiatric treatment, diagnosis, or emergency services.
- The service does not replace care from a licensed medical or mental-health professional.
- Mary may recommend appropriate outside professional support when a need falls beyond her stated scope.
Participation and Responsibilities
- You choose your goals and remain responsible for your decisions, actions, health, and well-being.
- You may pause or end participation at any time, subject to the applicable cancellation and payment policies.
- Progress and specific results cannot be guaranteed.
Privacy and Its Limits
Mary respects the privacy of information shared during individual services. These non-medical coaching communications may not carry the same legal privilege as communications with a licensed therapist or physician.
Information may be disclosed when permission is provided, when required by law or valid legal process, or when action is reasonably necessary to address an immediate safety concern. Do not submit sensitive wellness details through ordinary email, text messages, or public website fields.
Crisis and Safety
Mary’s services are not crisis or emergency services. Call 911 for immediate danger or call or text 988 for a mental-health crisis. Do not wait for a website, email, text, appointment, or coaching response.
Acknowledgment
By continuing in the secure client-start journey and providing your electronic signature, you confirm that you had the opportunity to review this category-specific consent, understand the nature and limits of the service, may ask questions before participating, and voluntarily agree to proceed.
This consent works together with the applicable service agreement, Scope of Practice, Privacy Policy, cancellation/payment terms, and—when Zoom is selected—the Telehealth Consent.
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