Empowerment Oasis, PLLC
Counseling Beyond the Norm
Established April 13, 2020
(336) 423-8775
Empowerment Oasis, PLLC
Intake Packet
Dear Client,
Welcome to Empowerment Oasis, PLLC. I am so excited to be working with you in this process. Coaching is all about you getting where you want to be through personal exploration, goal setting, and action steps. It is my pleasure to be of assistance, but please know that I view you as the expert on you.
This process is about you leading the way by defining your own goals, developing your own definition of success, and helping me to support you on this journey.
Clients have the best results when they are honest with themselves throughout the coaching process. Communication is key! It is important that we agree to welcome new ideas and be accountable to agreements established. I will do my best to be straightforward and supportive and will work to build trust so we can develop the most effective and rewarding coaching experience for you.
Again, I am so happy to be working with you and I very much look forward to our first session. Please call with any questions.
Wanda Kellyman, M.Ed., M.S, BCC
Empowerment Oasis, PLLC
Coaching Agreement
Coaching is a collaborative process with an ongoing relationship between the Client and the Coach. The coaching experience supports the Client in establishing new behaviors. The coaching relationship is strengths-based, forward-looking, and challenging in an encouraging way. The coaching agenda is developed and implemented in partnership between the Client and Coach. The role of the Coach is to help the Client in a supportive and respectful way to progress toward achieving a goal(s).
The Client and Coach agree to engage fully in the coaching experience. The Client recognizes that coaching is not to be construed as psychological counseling, psychotherapy, consulting, or any health-related service. It is the Client’s responsibility to seek a licensed professional if the Client feels the need for professional counseling or therapy.
Confidentiality
Coach agrees to keep all conversations and information with the client private and confidential, as allowable by law.
No personal information will be shared with anyone, directly or indirectly, without the Client’s express permission. Exceptions may be made if there is an imminent threat of serious injury to oneself or someone else. In this case, I will inform potential victims and legal authorities so that protective measures can be taken. In addition, under the court subpoena, our confidentiality agreement is not protected by law. Should it ever happen, I cannot claim in court to be unable to divulge the contents of our conversations.
Coaching Commitment
Coaching results are not guaranteed. You enter coaching with the understanding that you are responsible for creating your own results. You are hiring Wanda Kellyman, M.Ed., MS for the purpose of advising and supporting you with respect to achieving your goals. By entering into this relationship, the Client and Coach acknowledge that the Client desires to make a change or some type of improvement in his or her life.
The first session will be a time for us to go over coaching and it will be a visioning session, so please hold 1.5 hours of your time for that session. All future sessions will last approximately 45 minutes. I am attaching a series of questions for you to complete as well. Please send those back to me 24 hours before our session. You will notice that the last page is a form to be completed before the following session as a way for you to guide the conversation. Again, the more honest and thoughtful you can be, the better the outcome.
Payment is due before the first session. The fee for this coaching process, which includes a visioning session and three coaching sessions and any correspondence in between, is $350. Acceptable payments are by cash or credit/debit card only.
Coaching Session Procedures