Program Agreement
Welcome to SURGE Health Coaching. I’m excited to start our journey together. Please read the following document in full and contact me prior to signing this document if you have any questions. Please submit this signed document prior to our first session.
This Agreement is made today between Tracy Willis [Coach] and the person named at the end of this document [Client].
The program in which you are about to enroll will include the following:
Sessions scheduled and agreed upon by coach and client
Weekly check-in communication between sessions
Recommendations, resources and progress notes
Handouts, plans, tools and/or samples
Scheduling
As your Coach, I understand that my clients have busy schedules and therefore I plan my sessions accordingly. Please be on time. If the Client needs to cancel or reschedule the session, the client must do so 24 hours in advance; otherwise, the Client will forfeit that session and may not have the opportunity to reschedule it.
This program expires if all sessions have not been completed within two months of the last scheduled session date.
Payments and Refunds
The Client understand that the full cost of the program is due prior to the first scheduled session. If a payment plan is discussed, a new agreement will be signed with a payment schedule.
In the event the Client chooses to withdrawal, for any reason whatsoever, the client will be refunded the pro rata share of the program minus a $50 cancellation fee. Missed appointments that were not rescheduled 24 hrs prior to the scheduled session will not be refunded.
The Coach reserves the right to cancel the program if at any point he or she feels it is not advantageous for the Client or the coaching program to continue. If this happens, the Client is only responsible for the pro rata share of the coaching services received.
Disclaimers
The Client understands that the role of the Health Coach is not to diagnose or prescribe medications, treat or cure disease or other physical or mental ailment of the human body or to provide medical or nutritional therapy services. The Coach is a mentor and guide who has been trained to help clients reach their own health goals by devising and implementing positive, sustainable lifestyle changes. The Client understands that the coach is not acting as a licensed or registered medical professional and that any advice given by the Coach is not meant to take place of any advice provided by their healthcare medical team. If the client is currently under the care of a medical professional, and/or using prescribed or over the counter medications, this information should be provided to the Coach. Changes to any medications should be first consulted with the Client’s doctor. Please review the Terms of Use document for a full description of legal disclaimers.
Personal Responsibility and Release of Health Care Related Claims
The Client acknowledges that he or she takes full responsibility for the Client’s life and well-being, or for the related minor if applicable, and all decisions made during and after this program.
The Client expressly assumes the risks of the Program, including the risks of trying new foods, supplements or changes to lifestyle. The Client releases the Coach from any and all liability, damages, causes of action, allegations, suits and sums of money, claims and demands whatsoever, in law or equity, which the Client ever had, now has or will have in the future against the Coach, arising from the Client’s past of future participation, or otherwise with respect to, the Program, unless arising from the gross negligence of the Coach.
Confidentiality
The Coach will keep the Client’s information private, and will not share the Client’s information to any third party unless compelled to by law.
Arbitration, Choice of Law, and Limited Remedies
In the event that there ever arises a dispute between the Coach and Client with respect to the services provided pursuant to this agreement or otherwise pertaining to the relationship between the parties, the parties agree to submit to binding arbitration before the American Arbitration Association. Any judgement on the award rendered by the arbitrator may be entered in any court having jurisdiction thereof. Such arbitration shall be conducted by a single arbitrator. The sole remedy that can be awarded to the Client in the event that an award is granted in arbitration is refund of the Program Fee. Without limiting the generality of the foregoing, no award of consequential or other damages, unless specifically set forth herein, may be granted to the Client.
This agreement shall be construed according to the laws of the State of Colorado. In the event that any provision of this Agreement is deemed unenforceable, the remaining portion of the Agreement shall be severed and remain in full force.