Connection Docs Client Coaching Agreement.
  • WHAT HAPPENS NEXT:

    After you submit this Client Agreement Form BELOW, you’ll be taken to the next page with a LINK to schedule your initial comprehensive intake session.

    Not sure which option below is the best fit for you?
    You can CLICK HERE to schedule a brief Exploration Call with Dr. Lederman (only if it would be helpful).

    If you have any questions or need help at any point, please email: Support@ConnectionDocs.com.

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              Comprehensive Intake SessionIdeal for new or returning clients who want a focused deep-dive on one area before committing to a program. You’ll leave with clarity on what matters most, a personalized roadmap, and your next best steps. Note: This is a single coaching session (not a program). For weekly sessions + personalized homework + between-session email/text support, choose a program below. Medical care may be included when appropriate and requested (additional forms/consents required).
              $695
                
              Focused VisitFor returning clients who want a quick tune-up, accountability boost, or help navigating a specific challenge between full sessions or after completing a program. Note: This is a single coaching session, not ongoing weekly support. Medical care may be included when appropriate and requested (additional forms/consents required).
              $495
                
              1-Month “FOUNDATION FOR CHANGE” ProgramGet clear on what’s keeping you stuck and take your next best step forward. You’ll leave with a personalized roadmap, quick wins you can feel right away, and the confidence to keep momentum going. Includes: comprehensive intake + multiple weekly sessions + personalized homework + between-session email/text support. Medical care may be included when appropriate and requested (additional forms/consents required).
              $3,995
                
              2-Month “MOMENTUM BUILDER” ProgramGo beyond quick fixes and create lasting consistency. Together, we’ll establish strong routines, tackle your biggest obstacles, and set you up with strategies you can sustain long after the program ends. Includes: comprehensive intake + multiple weekly sessions + personalized homework + between-session email/text support. Medical care may be included when appropriate and requested (additional forms/consents required).
              $7,495
                
              3-Month “DEEP TRANSFORMATION” ProgramThis is the reset you’ve been waiting for. Over approximately three months, we’ll rewire how you approach health and connection, build unshakable accountability, and anchor results that last — and feel natural to maintain. Includes: comprehensive intake + multiple weekly sessions + personalized homework + between-session email/text support. Medical care may be included when appropriate and requested (additional forms/consents required).
              $10,995
                

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            • # Client Terms & Agreement
              ## Coaching Services Only
              WeHeal, Inc., a Florida corporation, doing business as Connection Docs and any affiliated trade names or DBAs (“WeHeal”), provides the coaching services described in this Agreement.

              ---

              ## IMPORTANT — Coaching Enrollment Only

              This agreement enrolls you in **non-medical coaching services** provided through WeHeal.
              Signing this agreement and submitting payment **does not create a doctor–patient relationship** and does not authorize medical care.
              Some Clients may later elect to add medical services. If medical services are requested and agreed upon, **separate medical documentation, consent forms, and intake through our medical portal are required before medical care may begin.**
              Until such medical forms are completed and signed, **all services remain coaching-only.**

              ---

              # Program Providers & Roles

              WeHeal programs may include coaching services delivered by one or more of the following:
              - **Matthew Lederman, MD** — may provide coaching services under this agreement and may provide medical services only if separately enrolled and documented in compliance with state licensing requirements.
              - **Alona Pulde, MD** — provides coaching services only under this agreement and does not provide medical care through this coaching enrollment.
              - **Mark Ideta** — provides coaching services as an independent contractor engaged by WeHeal, Inc. Mark Ideta is not a physician and does not provide medical or licensed mental health services.
              All coaching sessions provided under this agreement are non-medical in nature unless and until separate medical enrollment and consent documentation is completed.
              Coaching services, regardless of the professional background of the Coach, **do not create a doctor–patient relationship.**
              Medical services, if elected, may only be provided by a licensed clinician authorized in the state where you are physically located at the time of the visit.

              ---

              # Nature of Coaching Services

              WeHeal coaching and counsel involve structured conversations conducted via scheduled video or phone appointments.
              Typical live coaching sessions are approximately fifty (50) minutes in length, unless otherwise agreed upon.
              Coaching may include:
              - Support in building healthier relational and communication patterns
              - Education regarding nervous system regulation and behavioral change
              - Parenting and family dynamics support
              - Nonviolent Communication (NVC) education and skills
              - Lifestyle and habit education
              - Goal-setting, accountability, and implementation planning
              - Clarifying values and identifying aligned action steps
              Coaching services are educational and skill-building in nature.
              Coaching is not psychotherapy, counseling, medical care, or mental health treatment.
              WeHeal coaches, regardless of professional credentials, do not diagnose, treat, prescribe, or provide licensed mental health services under this agreement.
              If at any time licensed medical or mental health care appears appropriate, you may be encouraged to seek care from an appropriate provider.

              ---

              # Structured Program Format

              If enrolled in a structured program (e.g., 1-month, 2-month, or 3-month container), the program may include:
              - A comprehensive intake session
              - Coordinated coaching sessions
              - Personalized action steps and assignments
              - Between-session email and/or text support (reasonable use)
              - Selected worksheets and resources
              Programs are designed as structured containers for implementation and progress over time. They do not include unlimited access, crisis support, or on-demand care.

              ---

              # Program Structure & Session Allocation

              Structured programs may include coordinated coaching support delivered by WeHeal coaches and/or independent contracted coaches engaged by WeHeal, Inc.
              Clients may meet with more than one coach within a given week, depending on program design, goals, and coach availability.
              Individual coaching sessions are typically approximately fifty (50) minutes in duration.
              As a general rhythm, Clients may receive up to one live session per week with a particular coach. However, enrollment does not guarantee a specific number of sessions with any individual coach or a fixed number of total sessions per week.
              Session frequency and allocation may vary based on:
              - Client goals
              - Program design
              - Coach availability
              - Clinical and operational considerations
              Programs are structured containers of coordinated support and are not designed to provide unlimited sessions or on-demand access.

              ---

              # Team Coordination & Internal Consultation

              WeHeal programs are designed to provide coordinated and integrated support.
              In order to provide effective and comprehensive coaching, you acknowledge and agree that your case, goals, and relevant information may be discussed among WeHeal coaches and independent contracted coaches engaged by WeHeal, Inc., for the purpose of consultation, program alignment, and coordinated support.
              Such discussions are limited to team members directly involved in delivering program services.
              If you prefer that certain information not be shared within the team, you agree to notify WeHeal in writing. Otherwise, enrollment in the program constitutes your consent to internal team consultation for program-related purposes.

              ---

              # Between-Session Support

              Between-session support is intended for brief guidance, clarification, and accountability related to your coaching goals.
              - Communication may occur via email and/or text.
              - Responses are typically provided within 1–2 business days.
              - Between-session messaging is not intended for urgent situations or crisis support.
              - Longer matters may be addressed in scheduled sessions.
              Between-session communication is provided on a reasonable-use basis and supplements (not replaces) scheduled sessions.

              ---

              # Medical Care (If Later Elected)

              If you request medical services:
              - Separate medical intake, consent to treat, telehealth consent, and HIPAA documentation will be required.
              - Medical services may only be provided when the clinician is licensed and/or authorized in the state where you are physically located at the time of the visit.
              - No medical services may begin until required documentation is completed and accepted.
              Until that time, all services remain coaching-only.

              ---

              # Boundaries of Service

              - Coaching services are not a substitute for medical care or psychotherapy.
              - Coaching services do not constitute the practice of medicine, mental health therapy, nutrition therapy, or any licensed healthcare field.
              - WeHeal is not responsible for the independent coaching judgments, strategies, or communication methods of any individual coach, including independent contractor coaches.
              - Results are not guaranteed.

              ---

              # Financial Terms

              - Programs are priced as structured packages, not hourly billing.
              - Payment in full must be received prior to the scheduling or delivery of coaching services unless a written payment arrangement has been agreed upon in advance.
              - If you enroll in a structured program, recurring coaching arrangement, membership, or installment-based payment plan, you authorize WeHeal, Inc. to charge the payment method you provide according to the agreed-upon schedule in advance of services.
              - Authorization for recurring charges shall remain in effect until revoked in writing and acknowledged by WeHeal, Inc., and may require advance notice consistent with the applicable program or membership agreement.
              - No coaching session is confirmed until payment has been successfully processed.
              - If payment is declined, reversed, or not received, coaching services may be postponed, suspended, or discontinued until payment is successfully processed.
              - WeHeal reserves the right, in its sole discretion, to cancel or reschedule any coaching session if payment has not been received at least two (2) business days prior to the scheduled time.
              - All payments are final and non-refundable.
              - Because programs require advance scheduling and reserved capacity, refunds are not provided for unused sessions or early termination.

              ---

              # Program Completion Windows

              Unless otherwise approved in writing:
              - 1-month programs must be completed within 4 weeks of the initial session.
              - 2-month programs must be completed within 8 weeks.
              - 3-month programs must be completed within 12 weeks.
              Unused sessions are forfeited after the completion window.

              ---

              # Cancellation Policy

              - Sessions must be cancelled or rescheduled at least two (2) business days in advance.
              - Late cancellations or missed appointments count as used.
              - Missed sessions are not refundable.

              ---

              # Privacy & Communication

              - Coaching services are not medical services and are generally not subject to HIPAA.
              - If medical services are later elected, additional privacy documentation will apply.
              - Email and text communications may not be encrypted.
              - By signing this agreement, you consent to communication via email and/or text.

              ---

              # Recording & AI-Assisted Documentation (Coaching Services)

              Coaching sessions may be audio and/or video recorded for documentation, continuity, supervision, quality assurance, and program support purposes.
              WeHeal and its contracted coaches may use AI-assisted tools, including automated transcription, documentation support, or summary-generation features provided by the communication platform or affiliated tools, to assist in generating session notes or summaries.
              These tools are used to support accurate documentation and program coordination and do not replace the independent judgment of the coach delivering services.
              Recordings, transcripts, and AI-generated summaries will not be used for marketing, public distribution, research, training, or any non-service-related purpose without your separate written authorization.
              If you prefer that a particular coaching session not be recorded or processed using AI-assisted documentation tools, you must notify the coach for that session in writing at least 24 hours prior to the session. Such notice applies only to the specific session identified. Absent written notice, your participation in the session constitutes consent to recording and AI-assisted documentation for program-related purposes.

              ---

              # Payment Disputes

              - Clients agree not to initiate chargebacks for charges that comply with this agreement.
              - Clients agree to address billing concerns directly with WeHeal prior to contacting their financial institution.
              - Filing a chargeback without contacting WeHeal constitutes a breach of this agreement.

              ---

              # Force Majeure

              - WeHeal, Inc. shall not be liable for any delay, interruption, or failure to perform services resulting from causes beyond its reasonable control, including but not limited to natural disasters, power or internet outages, government actions, public health emergencies, regulatory changes, or the illness or incapacity of the provider. In such circumstances, services may be rescheduled or reasonably modified. Such events shall not constitute a breach of this Agreement.

              ---

              # Dispute Resolution

              - Mediation in Mercer County, New Jersey.
              - Binding arbitration in Mercer County, New Jersey if mediation is unsuccessful.
              - Payment disputes may be brought in New Jersey state court.
              - New Jersey law governs this agreement.

              ---

              # Acknowledgment

              By signing this jotform agreement, you acknowledge that:
              - You understand this agreement covers coaching services only.
              - You understand medical services require separate enrollment and documentation.
              - You understand coaching does not create a doctor–patient relationship.
              - You understand the financial terms, cancellation policy, and completion windows.
              - You authorize WeHeal to charge your payment method for agreed fees.

               

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