Started HRT but need help with troubleshooting or new to HRT but desire clarity so you're confident and ready to start your journey? This private session with Claudia is the perfect opportunity to get your questions answered.
Started HRT but need help with troubleshooting or new to HRT but desire clarity so you're confident and ready to start your journey? This private session with Claudia is the perfect opportunity to get your questions answered.
Started HRT but need help with troubleshooting or new to HRT but desire clarity so you're confident and ready to start your journey? This private session with Claudia is the perfect opportunity to get your questions answered.
I'm excited to support you to implement positive, sustainable lifestyle changes and help you reach your health goals. This Program Agreement (“Agreement”) describes the Program and memorializes our respective rights and responsibilities. Since this Agreement constitutes a legally binding contract once it is approved by you, I urge you to read it carefully and ask me any questions you have.
This Agreement is made as of the date agreed upon between Claudia Petrilli Health Coaching (“Coach”, “I” or “me”), and the person named at the end of this Agreement (“Client”, “you”, or “your”). The Program is set up for your success, and includes the following:
I. SCHEDULING (IF YOU CHOSE HRT CONSULTATION ADD-ON)
As your Coach, I understand that you have a busy schedule and I will not keep you waiting longer than planned. This session will end 30 minutes after it was scheduled to begin. Please be on time. If you need to cancel or reschedule a session, you must do so 24 hours in advance.
II. PAYMENTS AND REFUNDS
A. Payment is due when you sign this Agreement. The following additional fee will be assessed: (1) $25 if any payment is returned by the bank as unpaid. The test(s) of choice is included in this price; recommended supplements are not.
B. In the event of the Client’s absence or withdrawal from the Program, the Client will remain responsible for the pro rata share of the Program that has been delivered, plus a cancellation fee of $50. The Coach reserves the right to cancel the Program if at any time she feels it is not advantageous for the Program to continue. If the Program is cancelled by either party before the End Date, any outstanding balance for services rendered will be due immediately. However, the Client is only responsible for the pro rata share of coaching services received, and other than as stated above, any monies paid for part of the Program that has not been delivered will be refunded to the Client.
III. DISCLAIMERS, PERSONAL RESPONSIBILITY, AND RELEASE OF HEALTH CARE RELATED CLAIMS
A. I am trained in functional health coaching. As your Coach, I will be a mentor and guide to help you achieve a healthier diet and lifestyle. I am here to encourage and support your efforts at making lasting changes, but it is up to you to follow the Program and recommendations and use your instincts for your own wellbeing. It is ultimately up to you to follow through and commit to your health.
B. I am not a licensed practitioner, physician, psychologist, dietician, nutritionist, nurse or medical professional. It is not my role to (1) offer medical treatments, diagnoses, or counseling; (2) treat or cure any disease, condition or other physical or mental ailment of the human body. If you perceive anything I say or do or any information I provide as being within the types of professional services described above in this paragraph, you should not rely upon it. Anything I say or do or any information I provide is not meant to take the place of advice, diagnoses, treatment or care given by these professionals. You should not modify or discontinue any prescription medications, except as directed by your doctor. Please understand that health coaching is not a prescriptive service. As your Coach, anything I say or do or any information I provide you should be considered as informational and carried out at your own risk.
C. If you have a medical condition of any kind, you should maintain treatment as prescribed by your health care professionals. In the case of medical diagnoses, it is vital to work with your doctor to determine the best course of action; and to never replace one treatment for another that goes against the advice of your doctor or other health care professionals. It is your responsibility to keep your doctor informed and get medical clearance from your doctor before beginning or modifying any diet, supplements, exercise, or lifestyle program.
D. You acknowledge that you take full responsibility for (1) your life and well-being, (2) the lives and well-being of your family members (when applicable), and (3) all decisions made as part of the Program, both during and after the term of this Agreement. Understand that the power of the coaching relationship can only be granted by you, and your commitment to making the relationship powerful. If you see that the coaching is not working as you desire, communicate that to the Coach.
E. You expressly assume the risks of the Program, including the risks of trying new foods or supplements, and the risks inherent in making lifestyle changes. You release me from any and all liability, damages, causes of action, allegations, suits, sums of money, claims and demands whatsoever, in law or equity, which you ever had, now have or will have in the future against me, arising from your past or future participation in, or otherwise with respect to, the Program, unless arising from my gross negligence. You agree that with respect to malpractice or health care related claims, this Agreement does not provide you with a separate or independent right, claim or cause of action other than those that may otherwise be available for negligence or gross negligence.
IV. CONFIDENTIALITY
I will keep your information private, and will not share your information with any third party (outside of my team) unless required by law.
V. ARBITRATION, CHOICE OF LAW, AND LIMITED REMEDIES
In the event that there ever arises a dispute between you and me with respect to the Program, the services provided pursuant to this Agreement, or otherwise pertaining to our Coach-Client relationship, we agree to submit to binding arbitration before the American Arbitration. Any judgment on the award rendered by the arbitrator(s) 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 you 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 you. This Agreement shall be construed according to the laws of the State of New Jersey. In the event that any provision of this Agreement is deemed unenforceable, the remaining portions of the Agreement shall be severed and remain in full force.
VI. EXTENSION OF THE TERM
You and I may renew or lengthen the Program and extend the term of this Agreement by agreeing to do so in writing or by email. If a new agreement is not executed for such renewal and extension, the terms of this Agreement (except as to the modified End Date) shall govern as to any such renewed or extended term. If the terms of this Agreement are acceptable, please sign and date where indicated below. By doing so, you acknowledge that you have read and understand this Agreement, have had an opportunity to discuss it with me and, if desired, to have it reviewed by an attorney of your choice, and agree to all of its terms. Facsimile signatures on this Agreement shall be deemed as original for all purposes.