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STATEMENT OF INTENT:

All coaching services delivered by Stevenson Jones are meant to challenge, uplift, and support you psychologically. However, coaching is not psychotherapy. If you feel psychologically stressed to the point that it is interfering with your ability to function, please have the courage to seek the help you need in the form of a professional counselor. Life coaching may augment your therapy, but the work of coaching is meant to be done when major emotional and psychological wounds are already healing or healed. In that spirit, please read the following and sign below should you agree to each statement and wish to proceed. -I understand that the life coaching services I will be receiving from Stevenson Jones are not offered as a substitute for mental health care. I also understand that my coach, Stevenson Jones, is not acting as a psychotherapist, and does not purport to offer mental health care.-I understand that my coach will maintain the confidentiality of our communications only to the extent defined by the laws of the states in which each of us reside.-I understand and agree that all comments and ideas offered by my coach are solely for the purpose of aiding me in achieving defined goals. I can give my informed consent, and herby give such consent to my coach to assist me in achieving such goals.I herby release, waive, acquit and forever discharge Stevenson Jones from every claim, suit action, demand or right to compensation for damages I may claim to have arising out of actions, omissions, or commissions taken by myself or by Stevenson Jones as a result of the advice given by Stevenson Jones or otherwise resulting from the coaching relationship contemplated hereunder. I further declare and represent that no promise, inducement or agreement not herein expressed has been made to me to enter into this release. The release made pursuant to this paragraph shall bind my heirs, executors, personal representatives, successors, assigns, and agents.

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