Informed Consent & Coaching Agreement

Grace Shannon Wellness, LLC · Marchelle Brinson, Founder · contact@graceshannon.net

This Informed Consent & Coaching Agreement ("Agreement") governs the professional relationship between Grace Shannon Wellness (the "Coach") and you (the "Client"). By booking a session, completing the intake process, or participating in coaching services, you acknowledge that you have read, understood, and agreed to the terms below.

Please read this Agreement in its entirety before your first session. If you have questions about any section, please contact us at contact@graceshannon.net before proceeding.

1. Nature of the Coaching Relationship

Coaching is a professional relationship focused on goal-setting, skill-building, accountability, and forward-looking action. Coaching is

NOT

psychotherapy, clinical counseling, or any form of licensed mental health treatment. The coach-client relationship is not a therapist-patient relationship. I understand that my coach, Marchelle Brinson, is NOT a licensed mental health professional and does NOT practice as one.

2. Scope of Services

I have read and understand the Grace Shannon Wellness Scope of Practice. I understand that coaching services are limited to non-clinical, goal-oriented relationship coaching. The Coach will not provide clinical diagnosis, therapeutic treatment, psychological assessment, medication guidance, or any service requiring licensure under Florida law.

3. Confidentiality & Its Limits

The Coach will maintain confidentiality regarding all information shared in coaching sessions. However, confidentiality has the following legally required limits:

If I express an imminent threat of harm to myself or others
If child abuse or neglect is disclosed or reasonably suspected
If elder abuse or abuse of a vulnerable adult is disclosed or suspected
If disclosure is required by a valid court order or applicable law

In couples or family coaching, information shared in individual communications may be discussed in joint sessions unless otherwise agreed in writing. I understand that coaching communications are

NOT

protected by therapist-patient privilege.

4. Session Recording Policy

I understand and consent that Grace Shannon Wellness records all coaching sessions, including audio and video. These recordings are used exclusively for accurate note-taking, quality improvement, and internal professional development. Recordings are stored securely and are never shared with outside parties unless required by law or with my explicit written consent.

5. Referral

I understand that if my Coach identifies needs that exceed the scope of coaching — including indicators of clinical mental health conditions, trauma responses, domestic violence, substance abuse, or suicidal ideation — she will refer me to a licensed mental health professional. The Coach reserves the right to pause or discontinue coaching services if clinical concerns arise. I agree to consider such referrals in good faith.

6. Right to Terminate

Either party may terminate the coaching relationship at any time for any reason with written notice. I understand that fees for completed sessions are non-refundable and that the cancellation policy applies regardless of the reason for termination.

7. Financial Agreement

I agree to the fees associated with my selected service or package. Payment is due at the time of booking unless a payment plan has been established in advance and confirmed in writing. I understand that I am responsible for all session fees as outlined in my service agreement.

8. Cancellation & Refund Policy

I understand that at least
48 hours' advance notice
is required to cancel or reschedule any session. Sessions canceled with less than 48 hours' notice will be charged in full. No-shows will be charged in full. No refunds will be issued for completed sessions. For packages, refunds for unused sessions may be provided at the Coach's discretion, minus a pro-rated fee for sessions already completed.

9. Communication Boundaries

I understand that between-session communication (email, voicemail) is intended for brief check-ins only and is not a substitute for scheduled coaching sessions. I understand the Coach will respond to non-emergency communications within 1–2 business days. Emergency coaching availability is limited to clients enrolled in packages that expressly include this feature.

10. No Guarantee of Results

I understand that coaching outcomes vary based on individual commitment, honesty, effort, and circumstances. No specific results are guaranteed. I enter this coaching relationship with realistic expectations and an understanding that my progress depends significantly on my own participation and effort.

11. Social Media Policy

I understand that the Coach will not follow, friend, or connect with current clients on personal social media. I am welcome to follow the Grace Shannon Wellness business pages. I understand that client testimonials will only be requested and used with my explicit written consent.

12. Voluntary Participation

I confirm that my participation in coaching services with Grace Shannon Wellness is entirely voluntary. I have not been coerced or unduly pressured to participate. I may withdraw from services at any time in accordance with the termination and cancellation policies outlined in this Agreement.

By booking a session or completing the intake process, I acknowledge that I have read and fully understand this Informed Consent & Coaching Agreement, and I voluntarily consent to participate in coaching services with Grace Shannon Wellness.