ONLINE CONTRACT

This agreement is between The Consultant and The Client for the provision of consultation services by The Consultant with The Client.

Either party of the agreement may terminate services at any time while the agreement is in effect, on provision of written notice prior to the termination.

Areas in which The Consultant is competent to provide consulting service include: motivation, goal setting, imagery, self-talk, emotional and attentional control, confidence, competition routines, communication, leadership, motivational climate, team building, slump busting, and the psychology of injury recovery.

Although every attempt will be made to satisfy The Client’s needs, change is not guaranteed. The Client is solely responsible for change.

Required services outside of the above areas of competence will facilitated through referrals by The Consultant in consultation with The Client. Costs associated with the additional treatment resources will be paid by The Client to other professionals. Such services may include treatment for substance abuse, eating disorders, or other forms of psychotherapy. Issues which require police notification (i.e., Duty to Warn) will be addressed without consent of The Client.

Fees for the provision of services by The Consultant will normally be in the amount of $50 per hour, or The Client may pay for five 1-hr sessions for $200, or ten 1-hr sessions for $375. Payment will be made in advance via PayPal (see link below).

At the beginning of the term of this contract, The Consultant will hold a free introductory session with

The Client in order to outline expectations for the provision of services and to answer questions from The Client.

The nature and content of all services provided by The Consultant are privileged and will not be disclosed by The Consultant to anyone without oral or written consent by The Client. However, at the end of the service period The Client will be obliged to complete a questionnaire assessing the experience working with The Consultant, including providing a testimonial statement which may be used to promote The Consultant's service (e.g., posted on this website).

Any modifications to this agreement must be made by mutual consent of the parties.

Today’s date: ______________________________________________________________
Consultant's signature: ______________________________________________________
The Client’s name (print): ___________________________________________________
The Client’s signature: ______________________________________________________

[Client’s guardian’s signature, if necessary]
Client’s contact information: 
            Telephone: __________________________________________________________
            Fax: ________________________________________________________________
            Address: ____________________________________________________________
            E-mail: ______________________________________________________________