Substance Abuse Intervention Service Agreement
Learning with Clarity LLC
23505 Jefferson Ave, St Clair Shores, MI 48080
Service Providers: John George and Jen Dees
This Substance Abuse Intervention Service Agreement ("Agreement") is made between Learning with Clarity LLC ("Company") and the undersigned client ("Client"). By engaging in the substance abuse intervention services provided by the Company, the Client agrees to the terms and conditions outlined below.
1. Scope of Services
Learning with Clarity LLC agrees to provide substance abuse intervention services to the Client for a base fee of $5,300. These services include up to 20 hours of intervention-related support, including but not limited to:
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Initial Video Consultations: Consultations with the Client or family to discuss and plan the intervention.
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Education and Guidance: Providing education to the Client or family members on the intervention process, substance use disorders, and recovery options.
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Scripting and Letter Writing Assistance: Helping the Client or family members draft letters and script the intervention process.
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In-Person Intervention Support: On-site guidance and support during the intervention.
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Accompaniment to Rehabilitation Center: If needed, accompanying the subject to the chosen rehabilitation center.
2. Payment and Fee Structure
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The total fee for services is $5,300, which covers up to 20 hours of services as outlined above.
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The Client agrees to pay a 50% deposit ($2,650) upon signing this Agreement to secure the services of Learning with Clarity LLC.
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The remaining balance of $2,650 is due 48 hours prior to the scheduled intervention.
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Any services that extend beyond the initial 20 hours will be billed at a rate of $300 per additional hour, with prior approval from the Client.
3. Travel and Additional Expenses
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All travel-related expenses (e.g., airfare, ground transportation, lodging, meals) incurred by the intervention specialist(s) will be billed separately in addition to the base fee of $5,300.
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Incidentals: Any other necessary expenses related to the intervention (e.g., parking fees, tolls) will also be billed to the Client.
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These expenses will be itemized and invoiced separately, and payment is due within 7 days of the invoice date.
4. Cancellation and Refund Policy
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The 50% deposit is non-refundable.
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If the Client cancels the intervention less than 48 hours before the scheduled date, the entire fee is non-refundable.
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If the intervention is canceled more than 48 hours in advance, any unused portion of the remaining balance may be refunded or applied to future services.
5. Client Responsibilities
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The Client agrees to provide accurate and honest information about the subject of the intervention to facilitate the success of the process.
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The Client will ensure that all family members or participants involved in the intervention attend preparatory meetings and actively participate in the intervention process.
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The Client agrees to make arrangements for the subject to be admitted to the chosen rehabilitation center immediately following the intervention, if necessary.
6. Confidentiality
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All information shared during the course of the intervention process is confidential and will not be disclosed to third parties without written consent, except as required by law (e.g., cases of imminent harm, abuse, or court order).
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Learning with Clarity LLC adheres to strict confidentiality standards to protect the privacy of the Client and the subject of the intervention.
7. Limitation of Liability
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Learning with Clarity LLC makes no guarantees regarding the outcome of the intervention. The success of an intervention is dependent on many factors, including the willingness of the subject to engage in recovery.
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The Client agrees to release and hold harmless Learning with Clarity LLC, John George, Jen Dees, and any affiliated agents or employees from any claims, damages, or liabilities arising out of the intervention services provided.
8. Indemnification
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The Client agrees to indemnify and hold harmless Learning with Clarity LLC and its providers against any claims, liabilities, or damages resulting from participation in the intervention or actions taken by the Client or subject during or after the intervention.
9. Termination of Services
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Learning with Clarity LLC reserves the right to terminate services at any time if the Client is found to be non-compliant with the terms of this Agreement or if it is determined that the intervention process is not appropriate for the circumstances.
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The Client may also terminate services at any time; however, they remain responsible for paying for any services rendered up to the point of termination.
10. Governing Law and Dispute Resolution
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This Agreement shall be governed by the laws of the State of Michigan.
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Any disputes arising out of this Agreement will first be submitted to mediation, and if unresolved, will be subject to binding arbitration in accordance with Michigan state law.
11. Entire Agreement
This Agreement constitutes the entire understanding between the Client and Learning with Clarity LLC regarding substance abuse intervention services. Any amendments to this Agreement must be made in writing and signed by both parties.
Client Signature: ________________________
Date: ________________________