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A t t e n t i o n S o l u t i o n s

A D H D L i f e C o a c h i n g

3. That I am committed to an initial three months of coaching. If, at any time, I am

unsatisfied or need to discontinue, I will give you at least seven days’ notice. Should I

and the Person Being Coached wish to continue beyond the initial three month

commitment, this Agreement remains in effect until I and/or the Person Being Coached

gives two weeks’ notice of intention to conclude.

4. Payment is due prior to services at the beginning of each month.

5. I will do my best to see that the Person Being Coached is on time for his/her sessions and

will give 24 hours notice if we need to cancel or reschedule the session. If we are more

than 10 minutes late or miss a session without prior notice, I will be charged for the

session and it will not be made up.

6. I understand that the purpose of coaching is to assist the Person Being Coached to reach

his/her private goals, which may include the mutually agreed-upon (public) behavioral

goals that the Person Being Coached and I identify.

7. I understand that a person cannot be coached on something he or she is not willing to be

coached around. The Coach can only work on the goals the Person Being Coached

identifies, and I acknowledge that my ideas and wishes may not be addressed if they are

in conflict with what the Person Being Coached is willing to work on.

8. I acknowledge that my understanding of ADHD may need developed so that I don't

inadvertently undermine the coaching. If it becomes apparent to the Coach that I need

some education or coaching to support the Person Being Coached, the Coach may

suggest or require it.

9. I understand that Coaching is not a substitute for counseling, tutoring, psychotherapy,

mental health care, or substance abuse treatment. If the Coach sees the need for other

professional supports, the Coach will recommend them.

10. I agree to keep an open mind and be willing to support the Person Being Coached in

trying new behaviors and learning to advocate for him/herself.

11. I understand that what is said between the Person Being Coached and the Coach is

confidential unless the Coach hears bullying and/or drug or other self-abuse, or hears

imminent potential for harm to the Person Being Coached or toward another person.

Unless otherwise stated, the only information that the coach will provide is whether the

person being coached is attending coaching sessions. If there is any other scenario in

which I want to be informed and that the Person Being Coached and I agree to, it is listed

here: (example: progress on public goals, recommended supports or accommodations,

etc.)

Parent/guardian/client Coaching Agreement Form - A T T E N T I O N S O L U T I O N S Page 3