Client Agreement

Services:

• WeHeal, Inc. DBA Connection Docs will provide client coaching, which involves direct and personal conversations conducted via scheduled face-to-face, video, or phone appointments, which may include, but is not limited to, one or more of the following: support clients’ efforts in adopting healthy behaviors, creation/development of personal, professional, emotional, spiritual, mental, physical and lifestyle goals; methods to carry out a strategy/plan for achieving those goals; identification and addressing of specific personal struggles, professional issues or general physiological conditions; value clarification, brainstorming, identification of plans of action, examining modes of operation in life, asking clarifying questions and making empowering requests or suggestions for action (collectively, “Coaching”). As an example, Coaches may provide non-clinical support including, but not limited to, education and coaching around Nonviolent Communication, parenting, and relationships as well as health, nutrition, lifestyle, & connection. Coaches will only provide the services listed above. WeHeal, Inc. DBA Connection Docs coaches, regardless of their professional credentials and licensure, will NOT and do not provide medical advice, diagnosis, or treatment recommendations through the Coaching services. On a case by case basis, Coaches may collaborate with a Client's primary care provider.
• The Client acknowledges and understands that WeHeal, Inc. DBA Connection Docs and its Coaches make no promise or guarantee regarding the services provided. 

 

Financial Terms:

• Client Session Rate per above
• Package of Hours Rates per above
  
  • Hours in packages can be used for both individual sessions and/or with dyads/groups of client's choice (minimum 30 minutes).
  • Hours in packages can be used in any amount the individual client chooses (ex: 30-min phone consult, 90-min couples session, 4-hour mediation session, etc.)
  • Package of hours to be used within 6 months of first appointment date unless extenuating circumstances communicated in writing (email sufficient) and approved with your coach in advance of expiration. Any unused hours shall otherwise expire 6 months after the first appointment. 
• Recurring or Monthly Program and ClassRates:
  
  • Varies based on Program or Class
• Payment for any single session or packages will be required in advance of the time of scheduling. Client agrees to complete payment no more than 48 hours after receipt of the request. 

 

Agreements:

• The Services that Coaching Client will be receiving under this agreement are not offered as a substitute for mental health care and are not psychological or medical care services. Client understands that their Coach is not acting in the role of a mental health practitioner, licensed healthcare professional, dietician or nutritionist and does not purport to offer such care, and nothing communicated to Client by the Coach shall constitute the practice of such fields. If the Client's Coach believes that medical care services may be helpful, then the Client may be directed to their primary care provider.
• By signing this form, Client confirms that the email and/or phone listed in this form is acceptable to use for electronic payment requests. Upon the completion of any sale of a package or single session, Client is not entitled to any refund or credit. In the event Client has purchased a package of hours, Client authorizes WeHeal, Inc. DBA Connection Docs to automatically deduct the used hours from the Client’s package. 
• In the event Client has purchased multiple sessions, or has agreed to a payment plan for programs, Client authorizes WeHeal, Inc. DBA Connection Docs to automatically charge the Client’s credit card on file, or draw from the Client’s payment account, to pay for such programs or until a program has been paid in full. WeHeal, Inc. DBA Connection Docs will make such charges on a monthly basis unless otherwise agreed to in writing between the Parties. Client may not cancel the auto-payment until all owed amounts have been paid in full, even in the event Client ceases to participate in the program. 
• Monthly or Recurring program payments may only be terminated at least two (2) business days in advance of the monthly or recurring payment. Notice of termination must be given in writing. If notice is not received within the termination time period, Client understands they will be charged for the upcoming payment and no refunds will be given. Termination is approved upon written confirmation by WeHeal, Inc. DBA Connection Docs. Any Classes purchased are also non-refundable.
   

HIPAA Not Applicable/Privacy:

• Any and all information gathered by WeHeal, Inc. DBA Connection Docs about Client is not subject to the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) and therefore, HIPAA affords Client no protection. Client understands and agrees to communicate via text or email with the Coaches and/or any other WeHeal, Inc. DBA Connection Docs administrators and that communications via text or email are not secure and poses the risk of a breach of confidentiality. 

 

Cancellation/Missed/Unused Appointments: 

• The scheduling of an appointment involves the reservation of time specifically for Client. Client agrees to inform WeHeal, Inc. DBA Connection Docs of Client’s cancellation at least two (2) business days in advance of the scheduled appointment time and understands that Client will be billed at the above billing rate using the scheduled amount of time for that missed appointment in the event proper cancellation notice is not given to WeHeal, Inc. DBA Connection Docs. Specifically, WeHeal, Inc. DBA Connection Docs will deduct the appropriate number of hours or single session from the Client's account in the event of improper cancellation notice. Client understands that failure to utilize an appointment or group session in a recurring or monthly program, for any reason, shall not entitle Client to carry over or accumulate such appointments for future use. Any unused appointments in a recurring or monthly program are forfeited and no refunds shall be owed.
  
  • Individual sessions are forfeited if the Client fails to give proper cancellation notice for a scheduled session. 
  • Package of hours sessions are forfeited if the Client fails to give proper cancellation notice for a scheduled session and/or the package is not exhausted in full within six (6) months of the first session.
  • Recurring or Monthly Program sessions are forfeited if not attended. 
  • Classes are non-refundable. Failure to attend a class results in forfeiture of that class, with no refunds, prorations or make-ups.  
     

Dispute Resolution: 

• Mediation. If a dispute arises under this Agreement, the parties agree first to try to resolve the dispute with the help of a mutually agreed-upon mediator in Osceola County, Florida. Any costs and fees other than attorneys’ fees or other expenses incurred by a party for such party’s own benefit associated with the mediation shall be shared equally by the parties. 
• Arbitration. If the dispute is not resolved through mediation, the parties agree to submit the dispute to binding arbitration in Florida under a mutually agreed-upon arbitrator in Osceola County, Florida and which shall be governed by the laws of the state of Florida. A demand for arbitration must be communicated in writing to all parties. Each party shall select two arbitrators within thirty (30) days. The parties agree to first try to select an arbitrator from the four offered arbitrators within fifteen (15) days. In the event the parties cannot agree on an arbitrator within such a time frame, a neutral arbitrator (“neutral arbitrator”) shall be selected by the arbitrators appointed by the parties within thirty (30) days thereafter. The neutral arbitrator shall then be the sole arbitrator and shall decide the arbitration. Any costs and fees other than attorneys’ fees or other expenses incurred by a party for such party’s own benefit associated with the arbitration shall be shared equally by the parties. 
• Payment Dispute Exception. Notwithstanding the foregoing, any Client payment-related dispute may be brought in the courts of the state of Florida and shall be governed by the laws of the state of Florida.