Disclaimer of Health Care Related Services
The Coach encourages the Client to continue to visit and to be treated by his/ her healthcare professionals, including, without limitation, a physician.
The Client understands that the Coach is not acting in the capacity of a doctor, licensed dietician-nutritionist, massage therapist, psychologist, or other licensed or registered professional. Accordingly, the client understands that the Coach is not providing health care, medical or nutrition therapy services and will not diagnose, treat or cure in any manner whatsoever any disease, condition or other physical or mental ailment of the human body.
The Client has chosen to work with the Coach and understands that the information received should not be seen as medical or nursing advice and is certainly not meant to take the place of your seeing licensed healthcare professionals.
PERSONAL RESPONSIBILITY AND RELEASE OF HEALTH CARE RELATED CLAIMS
The Client acknowledges that the Client takes full responsibility for the Client’s life and well-being, as well as the lives and well-being of the Client’s family and children (where applicable) and all decisions made during and after this program.
The Client expressly assumes the risks of the Program, whether or not such risks were created or exacerbated by the Coach. The Client releases the Coach his/ her heirs, executors, administrators and assigns, it officers, directors, shareholders, employees, teachers, lecturers, agents, health Coaches and staff (collectively, the Releasees) from any and all liability, damages, causes of action, allegations, suits, sums of money, claims and demands whatsoever, in law, admiralty or equity, which against the Releasees, the Client ever had, now has or will have in the future against the Releasees, arising from the Clients’ past or future participation in, or otherwise with respect to, the Program, unless arising from the gross negligence of the Releasees.
CHOICE OF LAW, ARBITRATION AND LIMITED REMEDIES
This agreement shall be construed according to the law of the State of Connecticut. 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. In the event a dispute arises between the parties, either arising from this Agreement or otherwise pertaining to the relationship between the parties, the parties will submit to binding arbitration before the American Arbitration Association (Commercial Arbitration and Mediation Center for the Americas Mediation and Arbitration rules). Any judgment 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 damages, unless specifically set forth herein, may be granted to the Client.
If the terms of this Agreement are acceptable, please sign the acceptance below. By doing so, the Client acknowledges that
a) he/she has received a copy of this letter agreement
b) he/she has had an opportunity to discuss the contents with the Coach and, if desired, to have it reviewed by an attorney and
c) the client understands, accepts and agrees to abide by the terms hereof.
Agreement to do business with HomeGrownHealers
From time to time, HomeGrownHealers (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the IntakeQ electronic signing system. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to these terms and conditions, please confirm your agreement by clicking the ‘I agree’ button at the bottom of this document.
All notices and disclosures will be sent to you electronically:
Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the IntakeQ system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us.
How to contact HomeGrownHealers:
You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows:
To contact us by email send messages to: email@example.com
To advise HomeGrownHealers of your new email address
To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at firstname.lastname@example.org and in the body of such request you must state: your previous email address and then your new email address. We do not require any other information from you to change your email address..
To withdraw your consent with HomeGrownHealers:
To inform us that you no longer want to receive future notices and disclosures in electronic format you may:
i. decline to sign a document from within your IntakeQ session, and on the subsequent page, select the check-box indicating you wish to withdraw your consent, or you may;
ii. send us an email to email@example.com and in the body of such request you must state your email, full name, and telephone number. We do not need any other information from you to withdraw consent. The consequences of your withdrawing consent for online documents will be that transactions may take a longer time to process.
Acknowledging your access and consent to receive materials electronically:
To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please verify that you were able to read this electronic disclosure and that you also were able to print on paper or electronically save this page for your future reference and access or that you were able to email this disclosure and consent to an address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format on the terms and conditions described above, please let us know by clicking the ‘I agree’ button below.
By checking the ‘I agree’ box, I confirm that:
- I can access and read this Electronic CONSENT TO ELECTRONIC RECEIPT OF ELECTRONIC CONSUMER DISCLOSURES document; and
- I can print on paper the disclosure or save or send the disclosure to a place where I can print it, for future reference and access; and
- Until or unless I notify HomeGrownHealers as described above, I consent to receive from exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to me byHomeGrownHealers during the course of my relationship with you.