Helpful Forms

PLEASE COMPLETE ALL REQUIRED FORMS BELOW
All forms are online. No printing needed. Please Read Carefully which forms to complete

If you are a New Client or a New Clients Sponsor please complete all applicable forms below. 
All n
ew clients must at least sign the forms with a Red *Asterisk. 

Client must fill out all forms below prior to their first Coaching Session:

 *New Client Intake Form - (Client must sign)
 *New Client Questionnaire - (Client must sign)                                                                                                                                                                                                                                                *
Goal Setting Worksheet  - (Client must sign)                                                                                                                                                                                                                                                 *Life Coaching Agreement (Client must sign & Sponsor must sign if applicable)

Please fill out the form below if you have requested an installment plan:

 Installment Plan Form - (Client Complete if Applicable)

Please fill out the form below if you are a young adult minor client, under the age of 18 and also if you are the Sponsor of a minor client:

 Discussion Disclosure Agreement - (Sponsor Form; Client signs also)

Please use the form below to give consent to authorize your healthcare provider to speak with your Coach:

 HIPPA Consent Authorization Form - (Client & Healthcare Provider Complete if Applicable)

Primary Location

Availability

Primary Location Hours Open

Monday:

12:00 pm-9:00 pm

Tuesday:

12:00 pm-9:00 pm

Wednesday:

12:00 pm-9:00 pm

Thursday:

12:00 pm-9:00 pm

Friday:

12:00 pm-9:00 pm

Saturday:

12:00 pm-7:00 pm

Sunday:

Closed

SECONDARY LOCATION

Availability

Secondary Location Hours Open

Monday:

9:00 am-6:00 pm

Tuesday:

9:00 am-6:00 pm

Wednesday:

9:00 am-6:00 pm

Thursday:

9:00 am-6:00 pm

Friday:

9:00 am-6:00 pm

Saturday:

9:00 am-6:00 pm

Sunday:

Closed