Practical Performance Coaching
Confidentiality Agreement
Rasta Musick

What to expect:

As a rule, I will keep the information you share with me during our individual sessions confidential unless I have consent to disclose certain information. There are, however, important exceptions to this rule. In some situations, I am required by law or by the ethics guidelines of my profession to disclose information, whether or not I have permission. I have listed some of these situations below.

Confidentiality cannot be maintained when:

You, a team member, or a family member is doing things that could cause serious harm, even if the actions are not intended to cause harm. In these situations, I will need to use my professional judgment to decide whether a third party should be informed, such as the authorities, a specific individual, or a group.

You, a team member, or a family member is involved in a court case and a request is made for information about Practical Performance Coaching. If this happens, I will not disclose information without your written agreement unless the court requires me to do so. I will do all I can within the law to protect your confidentiality, and if I am required to disclose information to the court, I will inform you that this is happening.

Signing below indicates that you have reviewed the policies described above and understand the limits to confidentiality. If you have any questions as we progress, you can ask them at any time.

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Signing below indicates that you have reviewed the policies described above and understand the limits to confidentiality. If you have any questions as we progress, you can ask them at any time.

Signature _______________________________________ Date

Practical Performance Coach Signature________________________________ Date