Rev. Fr. Justin Hurtado-Palomo, M.Div., STL, Ph.D. & Iwigá Center for Spiritual Renewal

CLIENT/COACH PARTNERSHIP: You and your coach have a professional relationship existing exclusively for the purposes of cultivating increased satisfaction in your life and relationships. This relationship functions most effectively when it remains strictly professional and involves only the aspects related to wellness coaching. Justin can best serve your needs by focusing solely on your goals and avoiding any type of social or business relationship. 

 

COACHING  VS TREATMENT: Justin is not a licensed physician/psychologist providing traditional mental health treatment. I neither make nor treat diagnoses, Rather, he provides alternative therapy that is complementary to the healing arts services that are offered by providers who are licensed by the state.  Justin and Iwigá offer services that are in compliance with California state laws, including California Business & Professional Code § 2053.6. We integrate an individual’s body, mind, and spirit/spirituality because sometimes we are stuck in one or all of these vital areas of our experience. Justin has received training in several modalities that support an integrative approach to coaching including Somatic Experiencing, Eye Movement Desensitization, and Reprocessing, Emotion Focused Couples Therapy, Sensorimotor Psychotherapy, Cognitive Behavioral Therapy, touch and bodywork, and several other approaches.

Education & Certifications - Rev. Fr. Justin W. Hurtado-Palomo, M.Div., S.T.L.,Ph.D.

  • Ottawa University:  Dual BA - Human Services & Psychology (cum laude)

  • Ekklesia Epignostica Old Catholic Seminary:

    • Masters in Divinity, 

    • Licentiate of Sacred Theology (STL),

    • Doctorate (Ph.D.) in Psychology and Pastoral/Spiritual Care.

  • Southwest Institute of the Healing Arts: Diploma & Certification Transformational Life Coaching

  • Ordained Orthodox Catholic Priest (semi-retired)

AVAILABLE SERVICES: Justin offers a wide array of coaching services, including individual, family, couples, and group services. Effective coaching is founded on mutual understanding and good rapport between client and coach. It is my intent to convey the policies and procedures used in my practice, and I will be pleased to discuss any questions or concerns you may have. 

 

RISKS AND BENEFITS: Coaching can be beneficial, but as with any change, there are inherent risks. During coaching, you may have discussions about personal issues which may bring to the surface uncomfortable emotions such as anger, guilt, and sadness. The benefits of coaching can far outweigh any discomfort encountered during the process, however. Some of the possible benefits are improved personal relationships, reduced feelings of emotional distress, and specific problem-solving. Justin cannot guarantee these benefits, of course. It is his desire, however, to work with you to attain your personal goals for your life. 

 

COACHING: Justin provides short-term coaching designed to address many of the issues his clients are dealing with. Your first visit will be an assessment session in which you and he will determine your concerns, and if you both agree that Justin can meet your needs, a plan will be developed. 

 

Justin's goal is to offer the best experience available to you. If at any time you feel that you and he are not a good fit, please discuss this matter with him. As a coach, he does not offer therapy or treatment for any psychiatric disorders.  Should he determine that your needs require or would best be addressed by a clinical therapist, he will discuss this with you and provide you with a list of psychotherapists. 

 

Achieving wellness is more than the absence of disease or distress; it is a state of optimal well-being. It goes beyond the curing of illness or alleviation of stress to achieving health. Through the ongoing integration of our physical, emotional, mental, and spiritual self, each person has the opportunity to create and preserve a whole and happy life. Justin's services are designed to provide clients with an integrated solution for their mind, body, spirit, and life to enhance their lives and resolve issues. He may incorporate approaches such as Somatic Experiencing, Eye Movement Desensitization, and Reprocessing, or several other approaches he has been certified or trained in.  Dr. Hutado will inform you of the various techniques he will implement in your session to aid you in reaching your wellness goals.

 

YOUR RIGHTS: Justin and the staff at Iwigá strive to ensure that all individuals who are seeking and/or receiving services be provided with effective, efficient services. These services will be directed toward health and wellness.

 

 As an individual receiving services at my office, you have the following rights: 

 

  • To be treated with consideration and respect for human dignity; 

  • To receive quality services regardless of race, religion, sex, age, ethnic background, mental and/or physically disabling condition; 

  • To be provided privacy and protection from any unwarranted disclosure regarding your coaching; 

  • To be involved in planning your goals and to be informed about your process; 

  •  To refuse services and to be informed of the possible consequences of your actions; 

  •  To expect continuity of care from one service to another, should you need another service; 

  •  To examine and receive an explanation about the bill for your services; 

  •  To schedule an appointment and to review your file and receive any needed explanation about the contents.

APPOINTMENTS: Appointments are typically scheduled on a weekly basis and are approximately 45-50 minutes long. More frequent or longer sessions are available if determined to be appropriate by your coach. If you must cancel or reschedule your appointment, we ask that you call at least 24 hours in advance whenever possible. Appointments missed without 24 hours notice will incur the standing session fee.  Appointments canceled with less than 24-hours notice that can be rescheduled in the same week will not incur a no-show fee.

FEE SCHEDULE: 

 Evaluation Session (1st visit)                $225.00 

 Regular Office Visits (45-50 minutes)     $175.00 

 90-Minute Office Visits                       $250.00

 Returned check/EFT fee per check         $ 15.00

 Consulting Services Per Hour               $ 175.00 (Or negotiated per project.) 

 

Justin is able to offer limited reduced fees on a sliding scale for individuals experiencing economic hardship.  If this is something you need, please discuss it with him directly.  His goal is to provide services to those that need it regardless of availability to pay listed fees.

 

PAYMENT: Payment of fees is expected at the time of each appointment. We kindly request that payment be made before your session begins. Monthly payment arrangements are available if needed for clients who have established a payment record for three months. 

 

PRIVACY: 

Ekklesia Iwiga Center for Spiritual Renewal and Justin may keep notes and records of your coaching. These records are private with the exceptions noted below and in the Notice of Privacy Practices provided to you. Discussions between a coach and a client are also private. No information will be released without your written consent unless mandated by law. Possible exceptions to confidentiality include but are not limited to the following situations:  child abuse; abuse of the elderly or disabled; abuse of patients in mental health facilities; sexual exploitation; criminal prosecutions; child custody cases; suits in which the mental health of a party is in issue; situations where the coach has a duty to disclose, or where, in the coach’s judgment, it is necessary to warn or disclose; fee disputes between the coach and the client; a negligence suit brought by the client against the coach.

 

If you have any questions regarding privacy, you should bring them to Justin's attention so that we may discuss this matter further.  By signing this Information and Consent Form, you are giving consent to the undersigned coach to share private information with all persons mandated by law and you are also releasing and holding harmless the undersigned coach from any departure from your right of privacy that may result.

 

INTENT TO WARN/INTENT TO PROTECT: If my coach believes that I (or my child if the child is the client) am in any physical or emotional danger to myself or another human being, I hereby specifically give permission to my coach to contact any person who is in a position to prevent harm to me or another, including, but not limited to, the person in danger. I also giver permission for my coach to contact the following person(s) in addition to any medical or law enforcement personnel deemed appropriate:

 

CONSENT: By signing this Client Information and Consent Form as the Client, or Guardian of said Client, I acknowledge that I have read, understand, and agree to the terms and conditions contained in this form. I have been given the appropriate opportunities to address any questions or request clarification for anything that is unclear to me. I am voluntarily agreeing to receive coaching services for me (or my child if said child is the client), and I understand that I may stop such services at any time.

©2020 by Ekklesia Iwiga, Inc.

Ekklēsía Iwigá, INC. is an IRS tax-exempt public charity 501(c)(3)  #82-1053983

info@iwiga.com

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