LIVING BRIDGES CLIENT/PRACTITIONER AGREEMENT
This agreement between Matthew Cavanna/Living Bridges and ______________________________ (hereafter known as Client) is entered into on _______________ (date) whereby Matthew Cavanna agrees to provide coaching and spiritual counseling services for Client.
Coaching is a partnership (defined as an alliance, not a legal business partnership) between Matthew Cavanna and the Client in a thought-provoking and creative process that inspires the client to maximize personal potential. Some of the goals and topics may include: optimizing wellness, skillfully navigating transitions, managing difficult emotions and reactivity, gaining insight into behavioral patterns, improving the quality of relationships and anchoring the client in their own efficacy and ability to create positive change.
Spiritual Counseling is a process of inquiry and mindfulness through which Matthew and Client explore and apply the practices of various wisdom traditions and mind-body energy techniques with the intent of anchoring the client in the deep wisdom of their soul. From this place of powerful connection to intuition, Client is encouraged to direct the course of their own healing. Matthew Cavanna has his ministry license from Universalist Life Church and is the Spiritual Leader of Medicine Path Affiliate Branch Church/ONAC blessing given by George “Grey Eagle” Bertlestein January 2017.
As a somatically oriented practitioner, Matthew will sometimes offer light touch therapy or energetic touch (similar to Reiki) in order to guide Client to a deeper, somatic understanding of how their life experiences live in the body. This is not massage therapy, and clients are always fully clothed. Matthew always goes to great lengths to be sure he has the Client’s continuous consent. Touch can be very vulnerable, and he will continue to check in with Client’s experience and comfort level throughout any points of physical contact. Clients are always in charge of this touch and can disengage from the contact at any time.
If optional light touch therapy is something the Client feels interested in exploring, and if the Client agrees to take responsibility for communicating their comfort level and/or desire to disengage from touch at any point it time, please sign and date here:
-Matthew agrees to maintain the ethics and standards of behavior set forth by the International Coach Federation (ICF) found here: www.coachfederation.org/ethics.
-Client is responsible for creating and implementing his/her own physical, mental and emotional well -being, decisions, choices, actions and results. As such, the Client agrees that Matthew Cavanna is not and will not be liable for any action or inaction, or for any direct or indirect result of any services provided by Matthew Cavanna. Client understands coaching/spiritual counseling is not therapy and does not substitute for psychotherapy if needed. Matthew Cavanna/Living Bridges does not prevent, cure, or treat any mental disorder or medical disease.
-Client understands that coaching is not to be used as a substitute for professional advice by legal, mental, medical or other qualified professionals and will seek independent professional guidance for such matters. If Client is currently under the care of a mental health professional, Matthew Cavanna recommends that Client inform the mental health care provider that they are initiating coaching/spiritual counseling with Matthew Cavanna/Living Bridges.
-Client agrees to communicate honestly, be proactively open to feedback and assistance and create the time and energy to participate fully in the process.
Availability/Communication: The parties agree to engage in ongoing meetings. Matthew will be available to Client by email, text message & phone in between scheduled meetings and agrees to respond to correspondence within 3 days unless otherwise notified. Matthew may also be available for additional time, per client’s request on a prorated basis rate of $100/hr (for example: reviewing documents, reading or writing reports, engaging in other client related services outside of coaching hours).
Schedule & Fees: The fee is ______ (amount in advance if applicable) and/or __________ (amount) per month based on (frequency of meetings of _______).
The calls/meetings shall be _______ in length. If rates change before this agreement has been signed and dated, the prevailing rates will apply.
Procedure: The time of the coaching meetings and/or location will be determined by Matthew and Client based on a mutually agreed upon time. If not meeting in person, the Client will initiate all scheduled calls and will call Matthew at the following number for all scheduled phone meetings 415-408-8106. Matthew agrees to initiate all internet based video conferencing.
Confidentiality: This coaching relationship, as well as all information (documented or verbal) that the Client shares with Matthew as part of this relationship, is bound to confidentiality as described by the ICF Code of Ethics but is not considered a legally confidential relationship (like in Medicine, Psychotherapy or Law). Matthew agrees not to disclose any information pertaining to the Client without the Client’s written consent. Matthew will not disclose the Client’s name as a reference without the Client’s consent. Confidential information does not include information that: (a) was in the Matthew’s possession prior to its being furnished by the Client; (b) is generally known to the public or in the Client’s industry; (c) is obtained by Matthew from a third party, without breach of any obligation to the Client; (d) is independently developed by Matthew without use of or reference to the Client’s confidential information; or (e) that Matthew is required by law to disclose.
Release of Information: If the client desires, Matthew Cavanna will share pertinent information with a professional of the client’s choosing. Said professional will have to provide a legally binding release of information form for Matthew to sign.
Cancellation Policy: Client agrees that it is the Client’s responsibility to notify Matthew 48 hours in advance of the scheduled calls/meetings in the event they need to cancel a scheduled session. Matthew reserves the right to bill Client for a missed meeting inside this window. Client will attempt in good faith to reschedule missed meeting as possible.
Termination: Either the Client or Matthew Cavanna may terminate this agreement at any time with 2 weeks written notice.
Limited Liability: Except as expressly provided in this agreement, Matthew Cavanna makes no guarantees or warranties, express or implied. In no event will Matthew Cavanna be liable to the Client for consequential or special damages. Notwithstanding any damages that the Client may incur, the Matthew Cavanna’s entire liability under this agreement, and the Client’s exclusive remedy, will be limited to 50% of the amount paid by the Client to Matthew Cavanna under this agreement for all services rendered up until the termination date.
This is the entire agreement of the parties, and reflects a complete understanding of the parties with respect to the subject matter. This agreement supersedes all prior written and oral representations.
If a dispute arises out of this agreement that cannot be resolved by mutual consent, the Client and Matthew Cavanna agree to attempt to mediate in good faith for up to 90 days after notice given. If the dispute is not resolved, and in the event of legal action, the prevailing party shall be entitled to recover attorney’s fees and court costs from the other party.
This coaching agreement is valid on the first session, dated here ___________________________.
Client Signature: ____________________________________________