6D Health & Lifestyle Coaching

Client Accountability Agreement

Please complete this form, agreeing to all statements below. Once you submit this form, you will be sent a link to access the booking calendar of the Health & Lifestyle Coach of your choice where you can schedule your initial consultation when it is convenient for you.

All information is confidential; only 6D Health & Lifestyle coaches will have access to this information and it will never be shared publicly in any way.

First name

Last name

Email

Birthday

Month

Day

Year

What are some areas of your life on which you would like to focus with your 6D Health & Lifestyle Coach? Please click ALL that apply, thank you.

With which 6D Health & Lifestyle Coach would you like to meet?

Melissa Cotton

Sia Hurst

By submitting this consultation form, you agree to work with 6D Living Health & Lifestyle Coaches voluntarily and responsibly. You undertake this experience with the knowledge that you are in control of your choices and should you choose to apply any suggestions to your life, whether written or verbal, you will be responsible for the results. You accept that only you have the ability to choose your actions and you accept that you have the power to change your life. Please agree to all the statements below before submitting your form, thank you.

I undertake this experience with the knowledge that I am in control of my choices.

I agree to allow 6D Living to record all consultations

I agree to participate in this experience voluntarily and responsibly.

I accept that only I have the ability to choose my actions.

I accept that I have the power to change my life.

I have read the Terms & Conditions and agree to abide by them.

I agree that all information provided by 6D Living Health & Lifestyle coaches is not intended as medical advice and should not be used as such

I agree that 6D Living Health & Lifestyle coaches cannot diagnose or prescribe medications, treatment, or testing procedures