Coaching Scope, Boundaries & Referral Plan

Editable coaching scope, boundaries & referral plan template with online review plus licensed PDF, Word, and print tools after purchase.

For Mental Health Coaches (Non-Clinical) · Plan · CA$5

Document coaching focus, excluded diagnosis and treatment, crisis limitations, communication boundaries, and referral resources.

Included editable fields

  • Mental Health Coach
  • Client / Customer / Authorized Party
  • Coaching Format / Location
  • Wellbeing Goals
  • Coaching Period
  • Session Schedule
  • Licensed Care Providers
  • Crisis / Emergency Contacts
  • Plan Date
  • Service / Job Location
  • Job / Service Type
  • Scope / Purpose
  • Included Services / Tasks
  • Schedule / Milestones
  • Materials / Equipment
  • Client Responsibilities
  • Pre-Start Confirmations
  • Known Risks & Disclosures
  • Limitations & Exclusions
  • Plan Authorization / Approval
  • Plan Checklist / Activity Log
  • Outcome / Follow-Up
  • Record Timestamp