Client Disclosure and Service Agreement
Learning with Clarity LLC
23505 Jefferson Ave, St Clair Shores, MI 48080
Service Providers: John George and Jen Dees
This Client Disclosure and Service Agreement ("Agreement") is made between Learning with Clarity LLC ("Company") and the undersigned client ("Client"). By engaging in services with the Company, the Client agrees to the terms and conditions outlined below.
1. Nature of Services
Learning with Clarity LLC provides mental health coaching, intervention support, and guidance services. These services focus on education, personal development, emotional well-being, and behavior change but are non-therapeutic and non-clinical in nature. They do not replace professional therapy, medical care, or licensed mental health treatment.
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No Medical or Psychiatric Diagnosis: The Company and its providers do not diagnose, treat, or prescribe medications for mental health or medical conditions. The Client acknowledges that these services are not designed to treat or manage mental health disorders.
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2. Informed Consent and Client Responsibilities
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Client Understanding: The Client acknowledges that these services are voluntary and that participation in coaching and intervention sessions is at their own discretion.
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Cooperation and Honesty: The Client agrees to provide accurate and honest information to maximize the effectiveness of services.
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Referral for Additional Care: If the Client’s needs exceed the scope of services provided, they may be referred to a licensed professional or healthcare provider.
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3. Confidentiality and Data Protection
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Confidentiality: All information shared by the Client during sessions is confidential and will not be disclosed without written consent, except as required by law (e.g., in cases of imminent harm, child or elder abuse).
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Data Security: The Company employs commercially reasonable efforts to protect client data, including the use of secure communication platforms and encryption where applicable. However, the Client acknowledges that no system is entirely secure, particularly in the case of electronic communications (e.g., email, video conferencing), and agrees to assume any associated risks.
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Technology Risks: While remote services are delivered via secure platforms, the Company cannot guarantee the complete security of information transmitted electronically. The Client is responsible for ensuring the security of their own devices and internet connection.
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4. Limitation of Liability
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No Guarantees of Outcome: Learning with Clarity LLC makes no guarantees, warranties, or representations regarding the success or effectiveness of its services. Results may vary based on individual circumstances.
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Release of Liability: The Client releases and holds harmless Learning with Clarity LLC, John George, Jen Dees, their agents, employees, and contractors from any and all claims, damages, or actions arising from participation in services, including emotional distress or other consequences related to the services.
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Indemnification: The Client agrees to indemnify and hold harmless Learning with Clarity LLC, its owners, providers, and employees against any claims, liabilities, or damages arising out of their participation in services or from any actions taken based on the information provided during sessions.
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5. Remote Services and Technology Limitations
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Service Delivery: Services may be delivered remotely via video conferencing, phone calls, or other digital means. The Client is responsible for ensuring access to reliable technology and internet connectivity.
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Technology Disruptions: Learning with Clarity LLC is not responsible for interruptions in service due to technical issues beyond its control, including but not limited to internet outages, platform malfunctions, or hardware failure on the Client's side.
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6. Payment, Fees, and Cancellation Policy
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Fees: The Client agrees to pay fees as outlined in a separate payment agreement. Payment is due prior to the commencement of services unless otherwise arranged in writing.
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Refunds and Cancellations: Refunds are not provided for services already rendered. Cancellations must be made at least 48 hours before the scheduled session. Cancellations made with less than 48 hours' notice, or no-shows, will result in a full session fee.
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Credit Card Authorization (if applicable): The Client authorizes Learning with Clarity LLC to charge the designated credit card for services and fees as agreed. This authorization remains in effect until terminated in writing.
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7. Compliance with Laws and Professional Standards
Learning with Clarity LLC adheres to all applicable federal and state laws, including professional standards related to confidentiality, non-discrimination, and ethical conduct. The Client acknowledges that the Company may be subject to legal and ethical obligations to maintain certain records or make disclosures as required by law.
8. Non-Discrimination Policy
Learning with Clarity LLC provides services without discrimination based on race, ethnicity, national origin, gender, age, religion, disability, sexual orientation, gender identity, or any other legally protected characteristic. The Client acknowledges that the Company operates in accordance with all applicable anti-discrimination laws and practices.
9. Dispute Resolution and Governing Law
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Mediation and Arbitration: The Client agrees to engage in mediation to resolve any disputes before pursuing legal action. If mediation is unsuccessful, disputes shall be resolved through binding arbitration in accordance with the laws of the State of Michigan.
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Jurisdiction: This Agreement shall be governed by the laws of the State of Michigan, and any legal disputes arising under or related to this Agreement shall be adjudicated in Michigan state or federal courts.
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10. Termination of Services
Learning with Clarity LLC reserves the right to terminate services for any reason, including non-compliance, non-payment, or if it is determined that the Client's needs exceed the scope of the Company’s offerings. The Client may also terminate services at any time, but is responsible for paying for any services rendered up until the date of termination.
11. Entire Agreement
This Agreement constitutes the entire understanding between the Client and Learning with Clarity LLC regarding the services provided. Any modifications to this Agreement must be made in writing and signed by both parties.
Client Signature: ________________________
Date: ________________________