Consent Form for Parent Coaching
Parent Coaching Agreement
Please read the coaching agreement below and provide your consent by entering in your name and e-mail address, then clicking the SUBMIT button before our first coaching session.
Scope of Service Parent coaching will be based on the Developmental, Individual differences, Relationship-based (DIR) model of Dr. Stanley Greenspan and will be educational in nature. Coaching is not therapy and not to be considered therapy or as specific advice. DIR/Floortime coaching provided is a model of best practices and strategies that, when implemented as designed, have been found to be effective over time. You are responsible for the implementation of your own DIR/Floortime program and we cannot be held accountable for how you implement educational information that we present or the results that you achieve.
Educational Service As part of providing an educational service to you, we will need to discuss and record personal information from you that is relevant to your current situation. This information is a necessary part of your coaching.
By filling in your Full Name and Email Address, checking all boxes, then clicking the SUBMIT button, you consent to the above coaching agreement.