Sport Psychology Services Agreement

Welcome to my practice.

The document outlines a simplified consent/contract form for mental performance consulting services provided by Andrea Carvalho Dias, focusing on sport psychology and biofeedback. Please read it carefully and email me any questions you might have ([email protected]). When you sign this document, you will sign an agreement between us.

• Scope of Services: The services include teaching skills for exercise and sport contexts, performance improvement, and evidence-based assessment and intervention, but exclude diagnosis or treatment of mental health disorders and work outside the practitioner's scope of practice.
• Confidentiality and Exceptions: Client information is kept confidential and securely stored, with exceptions for harm disclosure and legal subpoenas. Clients under 18 have their records accessible to parents or guardians.
• Session Details and Costs: Mental Training interventions require a minimum of six meetings, with costs outlined for initial evaluations, hourly rates, and discounts for packages. Loaning Biofeedback equipment from my office for home training practices may incur extra costs. Self-paced packages have a specific cost, but individual sessions can be added upon request and payment of the regular session fee.  

SIGNATURES

Your signature (checking the box) indicates that you have read the information in this document and agree to abide by its terms during our professional relationship.