Privacy Notice: No information about any client will be discussed or shared with any third party outside without written consent of the client or parent/guardian if the client is under 18.

Health Coaching Services Release/Waiver

I have chosen to work with Lora McKelvey at Your Whole Life Vision, LLC and understand that the information received should not be seen as medical, nursing or counseling advice and is not meant to take the place of seeing a licensed health professional. It should be noted that Lora McKelvey is trained in yoga, and reiki, and that while I am seeking her expertise as a health coach, I have the option to include these modalities as well. I acknowledge and take full responsibility for my own life and well-being, as well as the lives and well-being of the my family and children (when applicable), and all decisions made during and after these services. I understand that no promises have been made to me as to the results of health coaching services. With a full understanding of the potential risks, I hereby assume the risks of participating in a health coaching session. I affirm that I alone am responsible to decide whether to practice health coaching. I hereby agree to irrevocably waive, release and discharge any claims and/or liabilities for death or personal injury or damages of any kind that I have now or hereafter may have against Your Whole Life Vision, LLC. I agree to not sue any of the persons or entities listed for any of the claims or liabilities that I have waived, released or discharged herein.

• I acknowledge that I have received The Coaching Agreement, have read (or have had read to me), and understand the information about the health coaching services I am considering. I have had all my questions answered fully, and agree to abide by the terms outlined above. • I affirm that I have answered all questions pertaining to my medical conditions truthfully. • I assume all risks of the recommendations made by Your Whole Life Vision, LLC including the risks of trying new foods or supplements, and the risks inherent in making lifestyle changes. • I understand that using health coaching services at Your Whole Life Vision, LLC is not a form of psychotherapy and that Lora McKelvey is acting as a health coach, not as a mental health therapist during health coaching sessions, and that I can stop services at anytime.

HEALTH COACHING WAIVER