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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 nonclinical, goaloriented relationship, family, child, and youth coaching. The Coach will not provide clinical diagnosis, therapeutic treatment, psychological assessment, medication guidance, or any service requiring licensure under Florida law.
 

Coaching services for minors are provided only with the knowledge and consent of a parent or legal guardian. All coaching services, whether for adults or minors—focus on communication skills, emotional awareness, relational tools, and personal accountability, and remain strictly within a nonclinical scope.

3. Confidentiality & Its Limits

Grace Shannon Wellness maintains confidentiality to the fullest extent permitted within a non-clinical coaching relationship. Information shared during coaching sessions, whether with adults, couples, families, or minors, will be kept private except in situations where disclosure is legally or ethically required.
 

Confidentiality may be broken if any of the following occur:

  • Imminent risk of harm to yourself or others

  • Disclosure or reasonable suspicion of child abuse or neglect

  • Disclosure or reasonable suspicion of elder abuse or abuse of a vulnerable adult

  • Threats of violence, self-harm, or harm to others

  • A court order or legal requirement compelling disclosure

For minors: Parents or legal guardians may receive general updates about progress, safety concerns, or issues requiring parental involvement. Specific details shared by a minor may remain private unless safety concerns arise or disclosure is necessary for the child's well-being.
 

In couples or family coaching, information shared individually may be discussed in joint sessions unless otherwise agreed to in writing. Coaching communications are not protected by therapist-client or patient-provider privilege.

4. Session Recording Policy

I understand and consent that Grace Shannon Wellness records coaching sessions, including audio and video, for the purposes of 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.

For minors: Session recording requires the knowledge and consent of a parent or legal guardian. By booking and participating in services for a minor, the parent or legal guardian acknowledges and agrees to this recording policy.

5. Referral

I understand that if my Coach identifies needs that exceed the scope of non-clinical coaching, including indicators of clinical mental health conditions, trauma responses, domestic violence, substance abuse, self-harm, or suicidal ideation, they will refer me to an appropriate 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.

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For minors: If clinical concerns are identified, the Coach will notify the parent or legal guardian and provide appropriate referral recommendations.

6. Right to Terminate

Either party may terminate the coaching relationship at any time for any reason with written notice.

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For minors: Termination may be initiated by the parent or legal guardian.

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.

For minors: The parent or legal guardian is responsible for all associated fees.

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.

9. Communication Boundaries

I understand that between-session communication is intended for brief check-ins only and is not a substitute for scheduled coaching sessions.

For minors: Communication between sessions is conducted with the parent or legal guardian unless otherwise agreed in writing.

10. No Guarantee of Results

I understand that coaching outcomes vary based on each client's level of engagement, participation, honesty, effort, and personal circumstances. No specific results are guaranteed. I enter this coaching relationship with realistic expectations and an understanding that progress depends significantly on participation and follow-through.

For minors: Progress is also influenced by the consistency of support provided at home. Parents or legal guardians enter this coaching relationship with realistic expectations and understand that a minor's progress depends significantly on participation, follow-through, and support outside of sessions.

11. 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.

For minors: Voluntary participation refers to the parent or legal guardian's decision to engage in services on the child's behalf. While parents or legal guardians provide consent for services, the Coach respects the minor's comfort and willingness to participate. If a minor expresses discomfort or unwillingness to continue, the Coach may pause or adjust services and consult with the parent or guardian.

Acknowledgment & Consent

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.

For minors: The parent or legal guardian acknowledges that they have read and fully understand this Agreement and are providing consent for the minor to participate in coaching services.

Questions About This Disclaimer?

Grace Shannon Wellness — Marchelle Brinson

📧 contact@graceshannon.net

📞 561-200-8727

📍 7711 North Military Trail, Palm Beach Gardens, FL 33410

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