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Intake Packet

Dear Client,

Welcome to Empowerment Oasis, PLLC! I am thrilled to have the opportunity to work with you on this transformative journey. Coaching is all about empowering you to achieve your goals through self-exploration, goal-setting, and taking action. I want you to know that I see you as the expert in your own life.

In this process, you will be leading the way by defining your goals and creating your own vision of success. I am here to provide support and guidance along the way.

Honesty and open communication are essential for the best results in coaching. Let's be open to new ideas and hold ourselves accountable to the agreements we establish. I am committed to being straightforward and supportive, and my goal is to build a trusting relationship that will make our coaching experience effective and rewarding for you.

Once again, I am truly excited to work with you, and I can't wait for our first session. Please don't hesitate to reach out if you have any questions.

Warm regards,

Wanda Kellyman, M.Ed., M.S, BCC

Coaching Agreement

Coaching is a collaborative process that fosters an ongoing relationship between the Client and the Coach. The goal of coaching is to support the Client in developing new behaviors and achieving their goals. The coaching approach is strengths-based, and forward-looking, and involves challenging and encouraging the Client in a respectful manner. The Client and Coach work together to create and implement the coaching agenda.

It is important for the Client to fully engage in the coaching experience and understand that coaching is distinct from psychological counseling, psychotherapy, consulting, or any health-related service. If the Client feels the need for professional counseling or therapy, it is their responsibility to seek the assistance of a licensed professional.


The Coach commits to maintaining the confidentiality of all conversations and information shared by the Client, as permitted by law.

All personal information will be kept strictly confidential and will not be shared with anyone, either directly or indirectly, without the express permission of the Client. However, in the event of an imminent threat of serious harm to oneself or others, the Coach may be obligated to disclose information to potential victims and legal authorities in order to ensure safety measures are taken. Additionally, if legally compelled by a court subpoena, the confidentiality agreement may not be protected by law, and the Coach may be required to disclose the contents of the conversations in court.

Coaching Commitment

Coaching results are not guaranteed. You enter coaching with the understanding that you are responsible for creating your own results. You are hiring Wanda Kellyman, M.Ed., M.S., BCC for the purpose of advising and supporting you with respect to achieving your goals. By entering into this relationship, the Client and Coach acknowledge that the Client desires to make a change or some type of improvement in his or her life.


The first session will be a time for us to go over coaching and it will be a visioning session, so please hold 50 minutes of your time for that session. All future sessions will last approximately 40 to 45 minutes. I am attaching a series of questions for you to complete as well. Please send those back to me 24 hours before our session. You will notice that the last page is a form to be completed before the following session as a way for you to guide the conversation. Again, the more honest and thoughtful you can be, the better the outcome.


Payment is due before the first session. The fee for the coaching process varies. Sessions that include a visioning session and three coaching sessions, and any correspondence in between, are $200. Acceptable payments are by cash or credit/debit card only. 

Coaching Session Procedures

  • Coaching sessions may occur in person or through video conference, depending on what works best for the Client.

  • The Coach and Client agree to adhere to established appointment times.

  • The Coach and Client agree to begin and finish all appointments on time. If the Client is more than 15 minutes late to an appointment, the Coach will assume that the appointment is canceled, and the Client will be responsible for the full coaching fee. If the Coach is more than 15 minutes late to an appointment, the Client may assume that the session is canceled, and the Client shall not be responsible for any payment for that session.

  • The Client agrees to cancel or reschedule an appointment at least 24 hours in advance, without a charge fee of $35 sent one week after. 

Memorandum of Agreement 

This agreement is made between Wanda Kellyman, M.Ed., M.S., BCC and the client. Please provider your contact information below. 

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