Natalie Mich is referred to below as (“Coach”)
I understand that the coaching services I will be receiving from my Coach are not offered as a substitute for professional mental health care or medical care and are not intended to diagnose, treat or cure any mental health or medical conditions beyond the scope of practice of an Acupuncturist licensed in Oregon, USA. I also understand that my Coach is not acting as a mental health counsellor. No weight loss guarantee can by participating in any programs offered by Natalie Mich. Weight loss is complicated and participants results will vary.
For legal purposes, I understand that coaching is currently an unregulated industry and that my Coach is not “licensed “ by any USA body even though the sessions may take place in the USA. understand and agree that I am fully responsible for my well-being during my coaching sessions, and subsequently, including my choices and decisions. Natalie Mich is licensed to practice Acupuncture and Chinese Medicine in Oregon state only. She cannot and does not offer medical advice to anyone outside of the limits of her Oregon Medical Board Acupuncture License.
I understand that coaching is not a substitute for counselling, psychotherapy, psychoanalysis, mental health care or substance abuse treatment, and I will not use it in place of any form of therapy. I understand that all comments and ideas offered by my Coach are solely for the purpose of aiding me in achieving the defined goals I create with my Coach. I have the ability to give my informed consent, and hereby give such consent to my coach to assist me in achieving such goals and understand that results are not guaranteed.
I understand that to the extent our work together involves general weight loss, health and nutrition advice. My Coach is not promising outcomes included but not limited to weight loss of any specific amount or quantity, health improvement or benefits because to guarantee any such benefit is unethical and impossible as there are many factors involved in weight loss and health maintenance. I understand that my Coach will protect my information as confidential unless I state otherwise in writing. If I report child, elder abuse or neglect or threaten to harm myself or someone else, I understand that necessary actions will be taken and my confidentiality agreement limited in this capacity. Furthermore, if my Coach is ordered by a court to provide information or to testify, she will do so to the extent the law requires.
I understand that the use of technology is not always secure and I accept the risks of confidentiality in the use of email, text, phone, Skype, Zoom and other technology. I hereby release, waive, acquit and forever discharge my Coach, any agents, successors, assigns, personal representatives, executors, heirs and employees from every claim, suit action, demand or right to compensation for damages I may claim to have or that I may have arising out of acts or omissions by myself or by my Coach as a result of the advice given by my Coach or otherwise resulting from the coaching relationship contemplated by this agreement.
I further declare and represent that no promise, inducement or agreement not expressed in this agreement has been made to me to sign this agreement. This agreement shall bind my heirs, executors, personal representatives, successors, assigns, and agents.
I understand that my Coach will protect my information as required under the General Data Protection Regulation (GDPR). If I report abuse, neglect or threaten to harm myself or someone else, I understand that necessary actions will be taken and my confidentiality agreement limited in this capacity. Furthermore, if my Coach is ordered by a court to provide information or to testify, he will do so to the extent the law requires.