top of page

New Clients - Welcome!

Sailboat On Calm Lake

New Client Intake Form

Fill in the form below to tell us a little about yourself and how we can help. We'll get back to you as soon as possible.

Time Zone
Age Range
Employment Status
Relationship Status

Updated 4/9/2026

DISCLAIMER  &  PAYMENT TERMS

EF Coaching & Consulting (EF-CC) website and services (in person and/or virtual) include information related to wellness topics, such as general information relating to executive function, mindfulness, task management, organization, follow through, professional coaching and consulting, mental fitness, mindset, frameworks, and other mental training choices that may affect your wellbeing, including the latest trends (the “Content”).  You acknowledge and agree that the following warnings and disclaimers shall apply to all of the Content.

 

Always Consult Your Physician Before Beginning Any Program.  EF Coaching & Consulting (EF-CC) website and services (in person or virtual) offer general information on wellness topics, such as general information relating to executive function, mindfulness, task management, organization, follow through, professional coaching and consulting, mental fitness, mindset, frameworks, and other mental training choices that may affect your wellbeing, including the latest trends. You should not rely on this information as a substitute for, nor does it replace, professional medical advice, diagnosis, or treatment.  Information provided on the website or in the services (in person and/or virtual) should not be used to treat, cure or prevent any disease or medical conditions.  Before using any of the services, recommendations, referrals, or information that are provided on the website or in the services (in person and/or virtual), it is strongly recommended that you consult with a physician or other medical provider.

 

EF Coaching & Consulting (EF-CC) website and services (in person and/or virtual) are not to be perceived as or relied upon in any way as medical advice or other health advice. The information provided through the website and services (in person and/or virtual) are not intended to be a substitute for professional medical advice, diagnosis or treatment that can be provided by your own physician, nurse practitioner, physician assistant, therapist, counselor, mental health practitioner, licensed dietitian or nutritionist, or any other licensed or registered health-care professional.  Do not use the Content in lieu of professional advice given by qualified medical or mental health professional and do not disregard professional medical or mental health advice or delay seeking professional advice because of information you have received during any such website visit, Virtual teleconference, or other recommendations received from EF Coaching & Consulting (EF-CC).

 

Always seek the advice of your own medical provider regarding any questions or concerns you have about your specific health or before implementing any recommendations or suggestions from EF Coaching & Consulting (EF-CC).  Do not stop taking any medications or cease using any prescribed medical devices without speaking to your physician, nurse practitioner, physician assistant, mental health provider or other health care professional.  If you have or suspect that you have a medical or mental health issue, contact your own health care provider promptly.  If you know or suspect that you may be pregnant, have an eating disorder, or have any other physical, psychological, emotional or medical or mental health condition, it is imperative that you seek the advice of your doctor or other health care provider prior to using the Content.

 

EF Coaching & Consulting (EF-CC) is not providing health care, medical or nutrition therapy services or attempting to diagnose, treat, prevent or cure in any manner whatsoever any physical ailment, or any mental or emotional issue, disease or condition. EF Coaching & Consulting (EF-CC)  is not giving medical, psychological, or religious advice whatsoever.  You acknowledge that you are participating voluntarily in using EF Coaching & Consulting (EF-CC) website and services (in person and/or virtual) and that you are solely and personally responsible for your choices, actions and results, now and in the future. You accept full responsibility for the consequences of your use, or non-use, of any information provided on or through EF Coaching & Consulting (EF-CC)  website and services (in person and/or virtual), and you agree to use your own judgment and due diligence before implementing any idea, suggestion or recommendation from EF Coaching & Consulting (EF-CC) to your life, family or business.

 

EF Coaching & Consulting (EF-CC) role is to support and assist you in reaching your own health and wellness goals through the executive function coaching and consulting services outlined herein, but your success depends primarily on your own effort, motivation, commitment and follow-through. EF Coaching & Consulting (EF-CC)  cannot predict and does not guarantee that you will attain a particular result, and you accept and understand that results differ for each individual.  Each individual’s results depend on his or her unique background, dedication, desire, motivation, actions, and numerous other factors. You fully agree that there are no guarantees as to the specific outcome or results you can expect from using the information you receive on or through EF Coaching & Consulting (EF-CC) website and services (in person and/or virtual).

 

If you have any concerns or questions about your health, you should consult with a physician or other health-care professionals. Please consult your physician or other health-care professionals before or as you start any fitness, nutrition or wellness programs to determine if they are right for your needs. Do not start a fitness and/or nutrition program if your physician or health care provider advises against it. Do not disregard, avoid or delay obtaining medical or health related advice from your health-care professional because of something you may have read on this site or affiliated social platforms. The use of any information provided by EF Coaching & Consulting (EF-CC) on his website or in services (in person and/or virtual) is solely at your own risk.

 

EF Coaching & Consulting LLC’s role is to support and assist you in reaching your own health and wellness goals through the executive function coaching and consulting services outlined herein, but your success depends primarily on your own effort, motivation, commitment and follow-through. EF Coaching & Consulting, LLC cannot predict and does not guarantee that you will attain a particular result, and you accept and understand that results differ for each individual.  Each individual’s results depend on his or her unique background, dedication, desire, motivation, actions, and numerous other factors. You fully agree that there are no guarantees as to the specific outcome or results you can expect from using the information you receive on or through EF Coaching & Consulting, LLC’s website and services (in person and/or virtual).

 

If you have any concerns or questions about your health, you should consult with a physician or other health-care professionals. Please consult your physician or other health-care professionals before or as you start any fitness, nutrition or wellness programs to determine if they are right for your needs. Do not start a fitness and/or nutrition program if your physician or health care provider advises against it. Do not disregard, avoid or delay obtaining medical or health related advice from your health-care professional because of something you may have read on this site or affiliated social platforms. The use of any information provided by EF Coaching & Consulting, LLC on his website or in services (in person and/or virtual) is solely at your own risk.

Payment is due in full within 10 days of date of service using EF-CC's website payment method or other agreed upon payment method.  Failure to remit payment may result in suspension or cancellation of ongoing and/or future services.  

-post-ai-image-8998.png
bottom of page