MARGARET COOPER, SOULBRIDGE INTEGRATION CLIENT AGREEMENT & RELEASE 

Before we begin, please read, and sign this agreement. This agreement sets the context in which you will achieve the outcome you want. It also covers some of the issues of laws governing our relationship. 

Integrative Somatic Practitioners 

1. Integrative Somatic Practitioners and the tools and techniques used within somatic practice, are alternative and/or considered complementary health care. That means that Margaret Cooper is not a Medical Doctor, psychiatrist, psychologist, Masters in Family and Child Counseling, or a master’s in social work. Nothing that happens here should be construed as a substitute for the advice of a medical person. 

2. What to expect: Margaret Cooper is an alternative practitioner who has been trained in Integrative somatic practices and other wellness modalities. She will be using somatic tools and techniques. The work may be different from your expectations. She guarantees that you will be guided in somatic processing and will learn somatic tools. She does not guarantee any specific results. 

3. This is the process: We begin with a client intake session that will be similar to a first visit with a doctor or therapist where much of your history will be reviewed. This is a question-and-answer process and lays a strong foundation of discovery to move forward. Then we will begin to apply some somatic techniques. 

4. After the session: After each session you will have tools and techniques that you should put into your daily practice. The more work you do on your own, the more progress you will also see within your somatic sessions.

5. This is alternative or complementary health care and therapeutic work: Your Somatic Practitioner is a legal Complementary Healthcare Provider, and not a Medical Doctor, psychiatrist, psychologist, Masters in Family and Child Counseling, or a master’s in social work. The services you receive are not licensed in this state, nor are they regulated by a governmental body. The self-regulated holistic treatments and client-centered disciplines in which Margaret Cooper is trained and in which she has experience including consulting and coaching specific to somatic practices. Your practitioner will always provide only those services in which they have been trained, and if she finds that she cannot help you, she will refer you to a licensed person who can assist you. 

FEES 

Individual sessions are $60 and generally run 50 - 60 minutes. If you’d like to book a longer session it will be prorated on the amount you pay. I do offer a limited amount of sliding scale options. Fees should be paid before or at the time of each session unless other arrangements have been made. My fees may change over the course of our work together but with consideration to your financial ability to continue sessions. You will be given at least 30 days notice prior to any fee increase. If there is a balance of one session, another appointment cannot be scheduled until the balance has been paid. Payment for services which are past due over 120 days may be subject to collection through the use of a collection agency. 

CANCELLATIONS 

Our weekly appointment time is reserved specifically for you and will not be offered to anyone else seeking a session. If you decide that you need to cancel a session please contact me 24 hours before at (913) 620-3340. This means that if you have an appointment at 11:00 am on Tuesday, you would need to cancel by 11:00 am on Monday. This will allow me time to reschedule other clients who could benefit from the availability. If you do not cancel, I will expect you to pay for the missed session in full. You are responsible for coming to your session on time. If you are late, your appointment will still need to end on time. There is a 15 minute grace period for late arrivals. If you do not arrive before the end of the 15 minute grace period, your session will be considered canceled and the cancellation fee will apply. I will do all I can to adjust due to unexpected time constraints if my schedule allows. Should questions or concerns about this policy arise during our work together, I will answer them thoughtfully and work toward a reasonable solution. True emergency situations that cannot be foreseen can be negotiated (sudden illnesses, accidents, or unpredicted loss of childcare).

Integrative Somatic Work 

Integrative somatic practices bring many wonderful benefits: 

Develop Bodily Awareness, increase mind-body-heart-spirit connection, ground, and balance, transform and release trauma, build the tools to improve yourself, reduce and manage pain, manage and increase your capacity to deal with life’s stressors, decrease symptoms of depression and anxiety, support symptoms associated with ADD/ADHD and Autism, release tension, release stuck negative emotions and help improve somatic symptoms effectively. 

Additionally, this work can build self-esteem and confidence, provide fresh perspectives on personal challenges, enhanced decision-making skills, greater interpersonal effectiveness, and improvement in productivity and increase satisfaction with all your relationships (with yourself and others) as well as life and work. These results are not guaranteed but are a possibility through our sessions and your own personal practice. 

Integrative somatic practice can also function similarly to coaching which is defined as partnering with clients in a thought-provoking and creative process that inspires them to overcome core issues and maximize their healing and human potential. 

Integrative somatic practitioners honor the client as the expert in his/her /their life and work from this perspective as well as believe every client is creative, resourceful, and whole. Standing on this foundation, the integrative somatic practitioners’ responsibility is to: 

● Discover, clarify, and align with what the client wants to achieve ● Encourage client self-discovery 

● Guide the client through somatic healing techniques

● Help the client take responsibility for their outcomes and provide tools and resources for the client to continue the work in their lives independently 

Your Choice, Your Responsibility 

During the sessions, I may offer you feedback and other ways of looking at any and all presenting problems and their solutions for your consideration. You hereby agree that whatever we discuss is only our perspective and is not binding upon you, nor is it a prescription. If you want to discuss our suggestions with someone else, you should discuss them with a licensed health care provider. It is your responsibility to confirm whether or not any changes we made produced the desired results. It is your responsibility to communicate your results to us. Our liability is limited to the amount paid for the work. 

RELEASE OF LIABILITY 

I understand that Margaret Cooper is an Integrative Somatic Practitioner dedicated to sharing her knowledge, tools, techniques, and resources with their clients. 

I represent that I am in good physical and emotional condition and have no medical reason or impairment that might prevent me from gaining support, care, and guidance from Margaret Cooper. I acknowledge my integrative somatic practitioner will not give me medical advice and their services are meant to be supportive in addition to any other medical professional’s treatments necessary, not in replacement of. If I have any physical mental health or medical concerns now or in the future, I must also discuss them with my physician or mental health professional and if requested, provide a release to my integrative somatic practitioner from my physician or mental health provider. 

I, the undersigned, hereby release Margaret Cooper and Soulbridge Integration, its officers, members, employees, representatives and agents from any and all liability and claims, demands, rights of action or action, which are related to, arise out of, or are in any way connected with the participation in coaching services that may arise.

I have carefully read and fully understand and agree to the foregoing statement and release. 

Date______________________Signed____________________________________ 

If the client is under 18 years of age: I/we the undersigned, as legal guardian(s) and on the behalf of ____________________________________________ have carefully read and fully understand and agree to the release. 

Date______________________Signed______________________________________