LMCN Services Informed Consent and Coaching Contract

Welcome to LMCN (Lifestyle Medicine & Coaching Network). This informed consent and contract document contains important information about health coaching services and related business policies. Please read it carefully and let us know if you have any questions. We want you to have the best understanding you can of these services at LMCN.

Lifestyle Medicine & Coaching Services

Health coaching is a general term for the process of facilitating healthy and sustainable behavior change and transforming individual goals into action. A doctor and coaches who practices lifestyle medicine will evaluate your routines, point out areas that need work, and create tailored managment to assist you in reaching your health objectives. In addition to lowering the risk of chronic diseases, this all-encompassing strategy can assist in managing disorders including diabetes, hypertension, and obesity. Our team composed of physicians, health coaches, nurses, nutritionist & culinary plant-based chef. By making sustainable lifestyle changes, you can take control of your health and improve your quality of life.

Confidentiality and Professional Records

In general, the privacy of all communications between our team and client will remain confidential. However, in group medical visits are medical appointments/educational online sessions conducted in a group setting in which the physician or health coach and each patient discuss the patient’s personal medical condition and treatment in the presence of the group. 

Because each patient will be disclosing personal health and other personal information to the group, participation in group medical visits and the release of personal health information within the group is strictly voluntary and is not required in order to receive treatment. By signing this Agreement, you also agree to respect the privacy of all participants, including their family members, who attend the group medical visit by keeping their private information confidential and not disclosing such information.

Risks and Considerations

As with any healthcare approach, there may be risks or challenges associated with implementing lifestyle changes. These may include:

• Discomfort from initial changes (e.g., dietary adjustments, physical activity)

• Emotional or psychological challenges (e.g., stress or frustration from lifestyle changes)

Coaching Contract

I understand that coaching is a cooperative relationship and one which requires me to adhere to a certain code of ethics and behavioral standards. I also understand that lifestyle medicine approach is different from naturopathy, homeopathy, functional medicine or integrative medicine. Lifestyle Medicine emphasizes a holistic approach, combining evidence-based lifestyle changes with conventional medical care. This may include personalized diets, stress management, and regular exercise. By targeting the root causes of disease, Lifestyle Medicine can improve overall well-being, reduce healthcare costs, and enhance quality of life. To give myself the best chance of making this process work, I agree to the following commitments: 

1. I will actively participate in the recommended lifestyle changes, including dietary modifications, exercise programs, and behavioral changes.                                                                                               

2. I will communicate any difficulties, side effects, or challenges with the healthcare provider to ensure your plan can be modified if necessary.

3. I understand that success depends on consistency and adherence to the lifestyle changes.

4. I will be present for my coaching call at all pre-scheduled times. I will avoid all distractions and follow the instructions that my coach will tell me. I will respect each other’s time.

5. If I absolutely must cancel a session due to some unforeseen emergency, I will notify my coach within no less than 24 hours of our scheduled session. This gives both of us the time to orchestrate a mutually acceptable rescheduling arrangement. Failure to take this step on my part will result in a forfeiture of any previously collected session fees. 

6. I understand that failing to keep up my end for the span for my program or coaching subscription. All fees collected for the current coaching or program period will be forfeited and I may not be reimbursed. 

Voluntary Consent:

 I acknowledge that I have received, have read, and understand the information about the lifestyle medicine & health coaching services I am considering. I have had all my questions answered fully, and agree to abide by the terms outlined above.