Safe Anger Coaching- Consent Form
Please Read before your First Session
1.GOALS 2. PREPAYMENT 3. CONFIDENTIALITY 4. PLATFORMS
What to expect, and pre-payment procedures for your first appointment.
In your first session:
GOALS> Once we have talked briefly about confidentiality, we will then set a goal for your coaching sessions. Some examples are: “I want tools to notice my triggers”, or “I want tools to recognize my 0 - 100 jump.” If you are not sure what your goals are, that is okay- I will help you define them. The length of each session is 50 minutes.
PREPAYMENT> You submit your credit card through your account on Janeapp and it will be charged after each appointment. The cost of your appointment is $75.00 CDN, $55.00 USD, and is required 24 hours before the session, or I am unable to hold your spot. Prepayment also saves valuable session time.
Pre-payment can also be done through eTransfer to sookerandy@gmail.com
If you are unable to use your credit card or eTransfer, cash still works.
CONFIDENTIALITY>
Before you start: Confidentiality and its exceptions
Confidentiality is a key to the effectiveness of the coaching process. The personal
information that is shared in the coaching session is confidential. Confidentiality will
continue even after the end of the coaching relationship. Below are the exceptions to such confidentiality:
1. If a child is or may be at risk of abuse or neglect, or in need of protection;
2. If the coach believes that you or another person are at clear risk of imminent harm;
3. For the purpose of complying with a legal order such as a subpoena, or if the disclosure is otherwise required or authorized by law.
The coach may also disclose information for the purpose of a professional consultation, in which case your identity will remain confidential.
PLATFORMS> In Person, Phone or Secure Video
We are currently using In Person sessions, telephone, or secure video.
Our offices in Langford (204-2780 Veterans' Memorial Parkway) are available,
as well as in Sooke in the Remax Building - 2015 Shields Road- #202.
Our offices are safe spaces.
250.812.6363
sookerandy@gmail.com
Snail Mail- PO Box 493, Stn Main, Sooke BC V9Z1A0
Safe Anger Coaching- Consent Form August 1, 2024
