& Confidentiality Agreement

Life Coaching Release and Confidentiality Agreement

I, Chantal Heide, value the relationship with my clients and believe that such a relationship is the beacon in the healing process.

I believe that each individual is unique and has her own way of addressing resolutions. Thus, I believe in a wellness model that helps my clients empower themselves by focusing on what works for them and not in a systematic approach that provides a generic procedure on working on a treatment.

One’s journey is not the same as the other.


The services to be provided by the coach to the client are virtual coaching, as agreed jointly with the client. Coaching may address specific relationship issues, business issues, or general conditions in the client’s life or profession.

Other coaching services include value clarification, brainstorming, identifying plans of action, examining modes of operation in life, asking clarifying questions, and making empowering requests or suggestions for action. Additionally, the client may be asked to reflect on difficult topics or situations which may result in an expression of emotions.

Throughout the working relationship, the coach will engage in direct and personal conversations. The client understands that successful coaching requires a co-active collaborative approach between client and coach. In the coaching relationship, the coach plays the role of a facilitator of change, but it is the client’s responsibility to enact or bring about the change.

If the client believes the coaching is not working as desired, the client will communicate this with the coach as soon as possible and the coaching strategy will be restructured to address the client’s desired outcome of coaching.

You are very much encouraged to talk more with the coach to receive a better understanding of what coaching is about and how to get the most out of it.

Prior History

The client also agrees to disclose details of the past or present psychological or psychiatric treatment. Coaching and counselling are not the same. Likewise, therapy and other modes of professional or medical psychological examination shall not be considered equivalent to coaching.

I am not a registered psychologist or psychiatrist, nor a licensed therapist. I do not engage in therapy with my coaching clients. In entering into the coaching relationship, and signing the agreement, you are agreeing that if any mental health difficulties arise during the course of the coaching relationship, you will notify me immediately so that I can discuss with you an appropriate referral.


All information about the coach/client relationship will remain strictly confidential except in very rare circumstances where decreed by law; ie. where the court might issue a subpoena for the file or information. Note that I do not retain a video record of our sessions unless I feel it necessary for our safety, and notes taken during sessions are for my clarity only and not a record of our conversations.

If you wish for me as your coach to speak to someone outside our interactions, you need to give me written permission (original letter, fax or email) to do so. Exceptions to confidentiality of course relate to circumstances such as intent to seriously harm someone, child abuse, thoughts of suicide etc. Otherwise, all remaining information is kept confidential.

It is also important to note that in some situations, it is important to be aware of the use of technology in that for some clients, there is a risk in using certain media such as the internet, mobile phones and cordless phones. If you use these to communicate with me, then I will assume that it is appropriate to continue to do so in my interactions with you.

Release of Liability