CONSENT TO GROUP ONLINE GROUP COACHING AND RECORDING BY BEACON PROGRAMS LLC
The service that we wish to offer you is specialized life coaching related to healthful eating habits. Coaches at the Beacon Programs LLC (“Beacon”), a New York corporation, work with adults and children to identify emotional issues that might interfere with healthful eating, to stop repeating thinking and behavior patterns that might lead to unhealthful eating, to develop a knowledge of and ability to plan for and engage in healthful eating, and generally to empower clients to eat in a healthy way. We help clients develop an integrated plan of eating that fits their lifestyle and helps them end struggles with food and weight. Coaching sessions are online and in a groups format.
Coaching is not a medical, mental health or any other type of health service. It is not psychotherapy or mental health counseling. No diagnosis or treatment of, or advice regarding, any medical or mental health condition or illness is offered. Health insurance companies do not reimburse for coaching services. Coaching cannot substitute for, and is not an alternative to, medical or other healthcare diagnosis and treatment when a medical or mental health condition or illness is present. You are advised to seek diagnosis, treatment and advice regarding medical or mental conditions or illnesses from physicians and other licensed health care and mental health professionals. If you wish mental health assessment, counseling or psychotherapy, then we can provide you with referrals at your request.
Beacon coaches all hold Masters degrees in Social Work and Mental Health Counseling. Although all Beacon coaches are licensed as mental health professionals in New York State, coaching is not considered a health care service for which licensure is required. That our coaches have professional license does not mean that our coaching services are necessarily superior to the services of unlicensed coaches. Coaching is provided by: Alexandra Wilt, LMSW; Brittas Barlogie, LMHC; Laurel Mercer, LMSW; Susan Graves, LMSW; Elizabeth Hale, LCSW; and Molly Carmel, LCSW-R
Our online group coaching sessions are recorded, including the video recording of any and all group members who participate by allowing themselves to be viewed and the audio recording of any and all questions or comments that participants may have. By participating in any live online group coaching session, you are authorizing Beacon to record and use the audio-video recordings of that session for display to any and all clients enrolled in any Beacon coaching program. You acknowledge that in publishing the recordings for their intended purpose to other clients of Beacon and to the public, you may be recognized whether or not you disclose you name. You also understand that some members of the public may believe that you sought coaching from Beacon due to issues in your life having to do with food and weight because that is the area of specialty for which Beacon is known.
You acknowledge that you are relinquishing any and all rights to the recordings made by Beacon of your participation in online group coaching sessions, and understand that the recordings will be used by Beacon for the above purposes without any further permission being required from you. You acknowledge that you are not being offered any compensation, nor are you under any duress, to give your consent to participation in online group coaching sessions or to being recorded if you do participate. You also understand that once the recordings are made, they may be used for several years for the above stated purposes.
You understand that prior to the making of the recordings, you have the right to revoke this Consent but because of the expense involved in making the recordings and contracting for their use, this Consent, once signed, may be revoked after the recordings are made only at the sole discretion of Beacon.
Please sign below indicating that you understand the nature of the coaching services that Beacon offers, that you consent to the recording of your participation in any online group coaching that you may attend, and that you have had the opportunity to ask any questions you might have about Beacon and the services it is providing to you.