Informed Consent/Privacy for Recovery Coaching

General Information
The Recovery Coaching relationship is unique in that it is a highly personal and at the same time, a contractual agreement. Given this, it is important for us to reach a clear understanding about how our relationship will work, and what each of us can expect. This consent will provide a clear framework for our work together. Feel free to discuss any of this with me. Please read and indicate that you have reviewed this information and agree to it by filling in the checkbox at the end of this document.

The Recovery Coach Process
You have taken a very positive step by deciding to seek Recovery Coaching. The outcome of your services depends largely on your willingness to engage in this process, which may at times, result in some discomfort. There are no miracle cures. I cannot promise that your behavior or circumstance will change. I can promise to support you and do my very best to understand you and work with you towards your success.

The recovery coach process involves the following steps:

1. Assessment: We will conduct an initial assessment to determine your strengths, needs, goals, and preferences.
2. Planning: We will collaborate on developing a personalized recovery plan that outlines the actions and strategies that will help you achieve your goals.
3. Coaching: We will meet regularly to review your progress, provide feedback, guidance, encouragement, and accountability.
4. Evaluation: We will periodically evaluate the effectiveness of our coaching relationship and make adjustments as needed.

Confidentiality
The processes' content and all relevant materials to the client’s services will be held confidential unless the client requests in writing to have all or portions of such content released to a specifically named person/persons.

However, limitations of such client held privilege of confidentiality exist and are itemized below:

- If a client threatens or attempts to commit suicide or otherwise conducts him/her self in a manner in which there is a substantial risk of incurring serious bodily harm.
- If a client threatens grave bodily harm or death to another person.
- If the Recovery Coach has a reasonable suspicion that a client or other named victim is the perpetrator, observer of, or actual victim of physical, emotional or sexual abuse of children under the age of 18 years.
- Suspicions as stated above in the case of an elderly person who may be subjected to these abuses.
- Suspected neglect of the parties named in items #3 and # 4.
- If a court of law issues a legitimate subpoena for information stated on the subpoena.
- If a client is in coaching services or being coached by order of a court of law, or if information is obtained for the purpose of rendering an expert’s report to an attorney.

Occasionally I may need to consult with other professionals in their areas of expertise in order to provide the best treatment for you. Information about you may be shared in this context without using your name. If I ever need to consult with other professionals regarding your Coaching process I will ask and expect you to sign a Release of Information form.

Accidental Encounters
If we see each other accidentally outside of the therapy office, I will not acknowledge you first. Your right to privacy and confidentiality is of the utmost importance to me, and I do not wish to jeopardize your privacy. However, if you acknowledge me first, I will be more than happy to speak briefly with you, but feel it appropriate not to engage in any lengthy discussions in public or outside of the therapy office.