Client Agreement & Disclosure Statement

 

Welcome to My Inner Temple! We are optimistic and enthusiastic about what we can accomplish together. To bring our “best selves” to the coaching relationship, it is important that we share the same understanding about how we will work together.

​

STATEMENT OF INTENT

​

All facilitation services delivered by Tiffany Tin are meant to challenge, encourage, uplift, and support you emotionally. Please note that this technique 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. Intuitive 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. Should you agree to each statement and wish to proceed please continue to booking and payment.

​

For coaching/mentoring clients, I recommend a 3-month commitment to weekly or biweekly sessions. A 3-month commitment ensures that you understand that it is hard work to change habits of thinking and acting, and that you are committed to making a concentrated effort and understand that it takes time. If you feel the need to only book a single session you can certainly do so.

​

Payment needs to be received in order to confirm that appointment. All fees are not refundable.

​

I will bring myself to those coaching sessions free from distractions and respectfully request that you do the same.

​

We agree that we will each show up at the mutually scheduled time for our coaching session and if you have to reschedule you will do so with a minimum of 24 hours notice. I certainly understand that emergencies do arise and will accommodate those on a case-by-case basis.

​

Please do not hesitate to reach out to me in between your sessions, your wellbeing, growth and expansion is my most desired commitment. It is my expectation that you will reach out only if you hit a “sticky” spot that you would like some feedback on, and that you will share the successes that you have on the way to creating your desired future. 

​

Our relationship is a collaborative one, and the more you put into it the more you will get out of it. Ask me questions, bring resources to the table that you’ve found and share with me your insights along the way. 

 

Risks and Benefits

Please note that it is impossible to guarantee any specific results regarding your goals using the services I offer. My clients have very positive outcomes and report that they gain a deeper sense of peace, awareness and empowerment. The beauty of my healing services is that you are guided and given unconditional positive presence in a safe environment and every step is your choice and you do not have to do what you do not want to do. At any point in the process you feel you cannot go on, this will be honoured. You agree to take full responsibility for your self-care in the emotional, mental, physical and spiritual dimensions of your life.

​

All meditation, yogic breathing techniques and movements should be practiced with a generally healthy body. Please consult your physician if you are not sure if these practices are right for you. 

​

General Guidelines

Yogic breathing and movement techniques are not recommended during menstruation, and pregnancy.
Anyone with any form of heart condition, particularly if they have a recent history of heart attack. People with low blood pressure must practice pranayama under the guidance of a teacher (in-person).
Avoid if you have fever, bronchitis, pneumonia, migraine or chronic pain
Anyone going through radiation or chemo therapy.
Not recommended for anyone going through severe psychological condition, sadness, grief, trauma, anger, anxiety, depression or suicidal feelings.

​​

 

Acknowledgement and Consent to Receive Services

By signing this document you agree that I have disclosed to you sufficient information to enable you to decide to undergo or forgo these services that I offer. Further you understand I am offering my services solely as a facilitator and intuitive practitioner and our relationship is not to be construed as psychotherapy, psychological counseling, or any type of therapy, nor is it a substitute for these services. You understand that it is your responsibility to maintain a relationship with a health care professional.

 

□ I understand that my healing facilitator will maintain the confidentiality of our communications only to the extent defined by the laws of the provinces in which each of us resides.

□ I understand and agree that I am fully responsible for my well being during my facilitation sessions, classes, courses, workshops, calls, and subsequently, including my choices and decisions.

□I understand that the services I will be receiving from Tiffany Tin are not offered as a substitute for mental health care. I also understand that my holistic healer, Tiffany Tin, is not acting as a psychotherapist, and does not purport to offer mental health care.

□ I understand that all communication offered by Tiffany Tin are solely for the purpose of aiding me in achieving my defined goals. I have the ability to give my informed consent, and hereby give such consent to Tiffany Tin to assist me in achieving such goals.

 

You represent that you are competent and have discussed with me the nature of the services to be provided and you understand that I’m not a licensed health care provider, such as a doctor, nurse, psychotherapist, etc. By signing on the line below, you knowingly, voluntarily, and intelligently agree to release, waive, acquit, indemnify, hold harmless and defend from and against any and all claims of whatsoever kind of nature, which you, or your representatives, may have for any loss, damage, or injury arising out of or in connection with your sessions with Tiffany Tin. By pursuing the services offered by Tiffany Tin, I hereby release, waive, acquit and forever discharge Tiffany Tin, their 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 arise out of actions, omissions, or commissions taken by myself or by Tiffany Tin as a result of the advice given by Tiffany Tin 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.

​

By booking a session or purchasing services or products, you are stating you have read and agree to the working agreements above, understand and agree with the points contains therein, and will honor them during our coaching relationship.

​

​

​