Coach MD Service Agreement
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I understand that Dr. Glassman and Coach MD are not replacing or substitutes for my personal doctor or other medical or mental health treatment professional.  I am consulting with Dr. Glassman and Coach MD for educational and informational purposes only.  I understand that Coach MD services are not intended to replace a one-on-one relationship with a qualified health care professional and are not intended as medical or mental health advice or treatment.

I wish to consult with Dr. Glassman and Coach MD in order to make more informed decisions. Any decision I make will be my own. I am not seeking diagnosis or treatment of any kind and I fully understand and agree that Dr. Glassman and Coach MD will not attempt to provide diagnosis or treatment of any kind.

If I wish and Dr. Glassman agrees, Dr. Glassman will record our consultation so that I may refer to it at a later time. 

I may from time to time request Dr. Glassman’s input and opinion regarding various of my life’s challenges. I fully understand that Dr. Glassman is not a licensed mental health professional. If I request his input regarding non-medical issues, it is not based on his being a physician but because I appreciate his insights and life experience.

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