Lifted From The Rut : Contract for Recovery Coaching

This is a contract entered into by Rob Lohman with Lifted from the Rut, (hereinafter referred to as “the Provider”) and the Signer of this contract below. (hereinafter referred to as “the Client”) on the date this form is executed.

What is the name of your loved one needing help? (hereinafter referred to as "the Subject" for the Recovery Coaching.) *

Recovery Coaching is a mentoring and training one-on-one strengths-based recovery coaching support to help clients transition into a new life of sobriety OR help clients walk through difficult transitions in life that may jeopardize their sobriety. Recovery Coaching can serve as a bridge between sobriety and a potential relapse and can be an ongoing, professional relationship to help clients gain the tools necessary to stay sober and to set and reach goals in life.

The Provider’s location of services will be determined on an appointment basis to be either virtually or at a discussed location by the Client and Provider. The Client hereby engages the Provider to provide services described herein under “Scope and Manner of Services.” The Provider hereby agrees to provide the Client with such services in exchange for consideration described herein under “Payment for Services Rendered.”

I agree to the following Monthly Recovery Coaching package. Each session is 50 minutes OR as broken up and defined by the Client and Provider. Sessions may be phone calls, Zoom or in-person. Payment is payable at the beginning of the 30 day period before the initial session.

(4) Four 50 minute Coaching Sessions & “spot check” services*

$800 per month (may be broken up to two (2) 25 minute sessions a week also)

*”spot check” services refers to availability at times outside of scheduled phone sessions via email, text and brief phone calls for the week following each session.

I agree to come to appointments without any illicit drugs or alcohol, weapons, or anything illegal in nature. I agree to come to appointments clean and sober. I agree to follow the directions of the Recovery Coach and complete all assignments on a timely basis.

Client Name *

First Name Last Name

Client Email *

example@example.com

Client Phone Number *

Area Code Phone Number

Recovery Coaching Payment *

USD Looking forward to working with you

Credit Card

In witness of their agreement to the terms above, the parties or their authorized agents hereby affix their signatures. Note if client is under 18 years of age, a legal guardian or parent must sign for them.: *

Clear

After hitting the SUBMIT button below, you will be directed to a Thank You page where you can schedule your first Session with your Recovery Coach, Rob Lohman