KETAMINE SUPPORT COACHING AGREEMENT
Process Ketamine Studio, LLC (“PKS”):

Purpose

These coaching calls provide education, preparation guidance, and post-infusion support tips for individuals engaging in IV ketamine therapy, as well as general consultation for clinics seeking to offer trauma-informed patient support. These sessions are not psychotherapy, do not include clinical assessment, and do not constitute mental-health treatment.

1. Role of the Coach

These coaching calls are provided by Tracy Santomarco, LMFT (CA License #118841), acting only in a coaching and educational capacity.
During these sessions, Tracy offers:

Education about how to prepare for IV ketamine therapy

• Suggestions for optimizing safety and emotional support

• General guidance for post-infusion integration and follow-up practices

• Resources, tools, and planning support

• Consultation for clinics or providers seeking to improve patient support practices

Tracy is not acting as a psychotherapist during these coaching calls unless you are a resident of California who enters into a separate psychotherapy agreement.

 2. Coaching vs. Psychotherapy

Coaching is a non-clinical service.
It does not include:

• Diagnosis

• Treatment

• Mental-health assessment

• Crisis intervention

• Processing of trauma

• Ongoing psychotherapy

• Emergency care

Coaching sessions cannot replace psychotherapy, psychiatric care, or medical treatment. If during coaching Tracy determines that you may be better supported by therapy or a higher level of care, she may recommend referrals.

3. Licensing & Location Limits

Tracy is licensed as a Marriage and Family Therapist in California only.
If you reside outside California, Tracy can only work with you as a coach, not a therapist.
She cannot provide therapy, mental-health treatment, or clinical services to individuals located outside CA.

If you reside in California and wish to explore psychotherapy, this must be discussed separately and requires a separate informed consent and documentation process.

4. Not Medical or Clinical Advice

Coaching sessions do not provide medical advice and should not be used as a substitute for:

• Medical evaluation

• Emergency care

• Medication management

• Psychiatric assessment

• Medical decision-making

Clients should consult their prescribing physician, ketamine provider, or other medical professional for all medical, dosing, safety, or treatment questions.

5. Confidentiality

Coaching does not carry the same legal confidentiality protections as psychotherapy.
However, information shared will be treated with respect and kept private unless disclosure is required by law, including:

• Risk of harm to self

• Risk of harm to others

• Child, elder, or dependent-adult abuse

• Other mandated-reporter obligations due to Tracy’s clinical license

Email, text, and phone communication cannot be guaranteed as confidential.

 6. Session Format & Payment

• Sessions are 20 minutes and conducted by phone.

• Payment is required at the time of booking.

• Fees are non-refundable once a session occurs.

• Cancellations or rescheduling must occur at least 24 hours in advance, or the full fee is charged.

• No insurance can be used for coaching, as it is not a healthcare service.

7. Scope of Support
Coaching is meant to help you:

• Prepare emotionally and mentally for ketamine sessions

• Build grounding or intention-setting practices

• Understand common therapeutic frameworks used in ketamine work

• Navigate post-ketamine integration ideas

• Explore tools for emotional regulation

• Improve communication with your clinic or support person

• Plan for safe and supportive treatment experiences

• Clarify questions related to best practices in patient support

Coaching does not include processing traumatic memories, EMDR, deep emotional work, or any intervention normally provided in therapy.

8. Clinic Consultation Services
Clinic consultations are educational only, focused on enhancing patient support practices, integration frameworks, trauma-informed approaches, and best-practice recommendations. These services are not clinical supervision or psychotherapy.

9. Agreement
By booking a coaching session, you acknowledge and agree that:

• You are entering a coaching relationship, not a therapy relationship.

• You understand Tracy is only providing psychotherapy to people located in CA who have entered a separate agreement.

• You understand coaching is not clinical treatment, medical care, or crisis support.

• You accept the policies regarding session length, cancellations, payment, and boundaries.

• You will not hold Tracy Santomarco or Process Ketamine Studio, LLC liable for outcomes related to coaching support or choices made following a session.

• You understand that any safety concerns or emergencies require contacting 911 or local emergency services.

10. Consent
By continuing to schedule and participate in coaching, you acknowledge that you have read, understood, and agreed to the terms of this Coaching Agreement.