DISCLAIMER: Mindfulness teaching and coaching are not substitutes for traditional medical treatments. If you have a serious health problem or imbalance please see a Medical Doctor or other appropriate professional. The information and coaching provided is intended to be helpful information on the subjects / areas discussed. It should not be used to diagnose or treat any medical or psychological condition. For diagnosis or treatment of any medical condition, consult your own physician. The mindfulness coach is not responsible for any specific health or allergy needs that may require medical supervision or treatment. In addition, he or she is not liable for any damages or negative consequences from any training, action, or application to any person subscribing to the information or insights shared. Any statements made in the course of coaching are kept confidential.
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NOTE: This form must be signed and sent to your counselor prior to your first session.