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Financial Coaching Intake Form
"I need a Financial Coaching Intake Form for my new wealth management practice that focuses on high-net-worth clients in California, with additional privacy protections and detailed sections for investment portfolios and business assets to be implemented by March 2025."
1. Personal Information: Basic contact details, identification, and demographic information of the client
2. Financial Status Overview: Current financial situation including income, expenses, assets, and liabilities
3. Goals and Objectives: Client's financial goals and desired outcomes from coaching services
4. Privacy Statement: Information handling and confidentiality policies in compliance with GLBA and state privacy laws
5. Consent and Authorization: Client's agreement to information collection and usage, including electronic signature authorization
1. Special Circumstances: Section for documenting unique financial situations or requirements specific to the client
2. Third-Party Authorization: Optional permission to share information with other financial professionals or advisors
3. Cultural or Religious Considerations: Section for documenting specific financial practices based on cultural or religious beliefs
1. Document Checklist: List of required financial documents and records needed for coaching services
2. Service Agreement Terms: Detailed terms and conditions of the coaching services including scope and limitations
3. Fee Schedule: Comprehensive breakdown of coaching fees, payment terms, and conditions
4. Privacy Policy: Detailed privacy and data protection policies in compliance with federal and state regulations
Authors
Client
Coach
Confidential Information
Personal Information
Financial Goals
Coaching Relationship
Service Period
Financial Information
Coaching Session
Action Plan
Financial Status
Net Worth
Assets
Liabilities
Income Sources
Budget
Financial Objectives
Third-Party Authorization
Privacy Policy
Consent
Service Agreement
Fees
Termination
Force Majeure
Privacy and Confidentiality
Information Usage and Disclosure
Data Protection
Consent and Authorization
Financial Information Collection
Service Description
Client Responsibilities
Coach Responsibilities
Scope of Services
Communication Methods
Record Keeping
Third-Party Disclosure
Disclaimer
Liability Limitation
Emergency Contact
Electronic Communication Consent
Document Storage
Information Accuracy
Client Rights
Termination
Amendments
Non-Discrimination
Governing Law
Severability
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