Health Coaching Agreement Template

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Sample

Health Coaching Agreement Template

Printable | Editable Form




Health Coaching Agreement Template (1)
Between:
[Name of the Health Coach]
[Coach’s ID]
[Coach’s Address]
[Coach’s Phone]
[Coach’s Email]
And:
[Name of the Client]
[Client’s ID]
[Client’s Address]
Introduction:
This document outlines the agreement for health coaching services established on [Contract Start Date], focused on promoting the client’s overall well-being and achieving health goals.
Clause 1: Scope of Services
The Health Coach agrees to provide the following services: [Specify services, e.g., nutrition guidance, fitness planning, wellness sessions].
Clause 2: Fees and Payment
The Client agrees to pay the Coach a fee of [Amount] payable under the following terms: [Specify payment terms, e.g., per session, monthly, or package rates].
Clause 3: Session Frequency and Duration
Coaching sessions will occur [Specify frequency, e.g., weekly, bi-weekly] and each session will last [Specify duration, e.g., 60 minutes].
Clause 4: Cancellation Policy
Both parties agree to a cancellation policy of [Specify terms, e.g., 24 hours’ notice required], or the fee for the scheduled session will be forfeited.
Clause 5: Confidentiality
The Coach agrees to maintain the confidentiality of any personal health information shared during the coaching sessions.
Clause 6: Limitation of Liability
The Coach shall not be held liable for any physical, emotional, or psychological issues resulting from the advice given during sessions, and the Client agrees to consult with a licensed healthcare provider for medical advice.
Clause 7: Governing Law
This agreement will be governed by the laws of [Jurisdiction].
Signed in [City], [Date].
Sincerely,
[Signature of the Health Coach]
[Name of the Health Coach]
[Signature of the Client]
[Name of the Client]
Health Coaching Agreement Template (2)
Between:
[Name of the Health Coach]
[Coach’s ID]
[Coach’s Address]
[Coach’s Phone]
[Coach’s Email]
And:
[Name of the Client]
[Client’s ID]
[Client’s Address]
Introduction:
This agreement is established to formalize the health coaching services to be provided commencing on [Contract Start Date], to support the Client in achieving their health and wellness goals.
Clause 1: Description of Services
The Coach will deliver the following services: [List specific services, e.g., personalized meal plans, exercise regimes, motivational coaching].
Clause 2: Payment Terms
The Client agrees to compensate the Coach with a fee of [Amount] based on the payment structure of [Specify terms, e.g., sessions, packages].
Clause 3: Session Setup
The parties agree to meet [Specify frequency] for one-on-one coaching sessions, each lasting [Specify duration].
Clause 4: Client Responsibilities
The Client agrees to actively participate in the coaching process, follow agreed plans, and provide honest feedback to facilitate progress.
Clause 5: Termination Conditions
This agreement may be terminated under the following circumstances: [Specify conditions such as mutual agreement or non-compliance with terms].
Clause 6: Acknowledgment of Health Risks
The Client acknowledges potential health risks and agrees to consult with a healthcare provider prior to making changes based on the coaching received.
Clause 7: Final Acceptance
Both parties confirm that they have read, understood, and accepted the terms of this agreement as of the signing date.
Signed in [City], [Date].
Sincerely,
[Signature of the Health Coach]
[Name of the Health Coach]
[Signature of the Client]
[Name of the Client]

Form

Please complete the form below to create the Health Coaching Agreement Template. All fields must be filled out to ensure a clear and complete agreement. We provide examples to guide you through each step.

Health Coaching Agreement Template

1. Coach Information


2. Client Information


3. Agreement Duration

4. Sessions and Schedule

5. Goals and Outcomes

6. Fees and Payment Terms

7. Cancellation and Refund Policy

8. Confidentiality Agreement

9. Responsibilities of the Coach

10. Responsibilities of the Client

11. Signatures and Acknowledgment

12. Declaration and Signatures




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WORD

Printable

Health Coaching Agreement Template

Printable | Editable Form




Health Coaching Agreement Template