This Agreement is intended to provide the Client with important information regarding the services, policies, and procedures of Dena McComb (hereafter referred to as “Practitioner”), and to clarify the professional relationship between Practitioner and Client.
Any questions regarding this Agreement should be discussed prior to signing.
Nature of Services
The services offered are educational, somatic, and supportive in nature, and are designed to support nervous system regulation, body awareness, stress reduction, and overall well-being.
Services may include:
-
One-on-one somatic and nervous-system-informed sessions
-
Gentle movement, yoga, and body-based practices
-
Education related to stress, pain, and nervous system functioning
-
Optional reflective or integration practices
These services do not include psychotherapy, trauma processing, emotional excavation, medical diagnosis, or treatment of mental health conditions.
Scope & Limitations of Services
-
Practitioner is not a licensed therapist, psychologist, psychiatrist, or medical provider.
-
Practitioner does not diagnose or treat medical or mental health conditions.
-
This work is not a substitute for medical care, psychotherapy, or crisis intervention.
-
Clients are responsible for seeking appropriate medical or mental health care as needed.
This work is body-based and present-focused. Clients are not required to revisit or relive past experiences in order to participate.
Potential Benefits & Risks
Potential benefits may include:
-
Increased awareness of bodily signals
-
Improved nervous system regulation
-
Reduced stress, tension, or pain over time
-
Greater sense of steadiness and connection
As with any body-based or personal growth work, clients may experience temporary discomfort, emotional responses, or physical sensations as awareness increases. Clients are encouraged to communicate openly and to work within their own limits.
Client Responsibility
Clients acknowledge that:
-
Participation is voluntary
-
Results vary and cannot be guaranteed
-
They are responsible for their own choices, actions, and well-being
-
This work requires personal engagement but does not involve homework requirements or compliance expectations
Confidentiality
Practitioner agrees to maintain confidentiality of information shared by the Client, except as required by law.
Exceptions to confidentiality include:
-
Reasonable suspicion of abuse or neglect of a child, elder, or dependent adult
-
Serious threat of harm to self or others
-
Court order or legal requirement
Washington State does not recognize coach/client privilege.
Communication & Boundaries
Sessions may be conducted via Zoom or other secure virtual platforms.
Between-session contact is limited and intended for scheduling or brief clarifications only. Practitioner does not provide ongoing emotional support or crisis response between sessions.
Practitioner is not available for emergency services.
In case of emergency, Client agrees to contact 911, local emergency services, or a crisis hotline.
Record-Keeping
Practitioner may keep brief notes for business and continuity purposes. These records are the property of the Practitioner and are not clinical records.
Fees & Payment
Fees are agreed upon in advance and may be structured as a one-time payment or installment plan, depending on the offering.
Payment is due as outlined at enrollment.
Missed sessions are not refundable unless otherwise specified in writing.
Termination of Services
Either party may terminate the professional relationship at any time.
Practitioner reserves the right to terminate services if the scope of practice is exceeded, boundaries are not respected, or the work is no longer appropriate.
Legal Matters
Practitioner does not participate in legal proceedings, custody disputes, or provide documentation for court use.
If subpoenaed, Client agrees to compensate Practitioner for time spent in preparation or appearance.
Acknowledgment & Consent
By signing below, Client acknowledges:
-
Understanding of the nature and limits of services
-
That this work is not therapy or medical treatment
-
Voluntary participation
-
Financial responsibility for agreed-upon fees
Client agrees to hold Practitioner harmless from claims arising from participation, except in cases of gross negligence.
