Health Coaching Agreement-Male If you are a human and are seeing this field, please leave it blank. Fields marked with a * are required. True Health Coaching Package Eight 30-minute sessions for $320 This agreement outlines the details of optional health coaching which can be added to any Truth & Life Nutrition Healthcare membership level. This health coaching agreement entitles you to eight 30 minute individual sessions with a certified health coach who will walk you through the practical steps you need to take to implement the diet and lifestyle changes recommended by your functional medicine provider. What's Included: Eight 30 minute sessions with your certified health coach. Sessions may be held in person or remotely depending on your preference These are some of the most common things your certified health coach will help you with: meal and menu planning grocery list preparation help with facilitating behavior change recipe recommendations time management goal setting accountability integrating your lifestyle with that of other family members Although these are the most common ways your health coach will assist you, there may be many other ways specific to your individual situation in which they will help facilitate your transition. Requirements: You must be enrolled in a Functional Medicine Healthcare Membership (at any level) in order to receive health coaching. You must use all 8 visits within the duration of your active membership. Any unused visits remaining when your membership expires will be forfeited. Payment Payment of $320 is required upon submission of this form. Cancellation Coaching packages may only be cancelled for full refund within the first 14 days and as long as no coaching sessions have been attended. No refunds will be given after 14 days or after the first coaching session has been attended whichever occurs first. I agree with the terms and conditions of the agreement as described above * First Name * Last Name * Address 1 * City * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampsire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State * Zip / Post Code * Phone * Email * If you are a human and are seeing this field, please leave it blank.