Health and Wellness Overeating Contract

Health and Wellness Overeating Contract

THIS AGREEMENT is made effective as of (the Effective Date) by and between:

Client Name:    Client Date of Birth:

Provider/Coach Name:

WHEREAS

WHEREAS, the Provider is engaged in the business of health coaching, nutritional guidance, behavioral support, and related wellness services; and

WHEREAS, the Client seeks to address patterns of overeating and related behaviors through a structured program of coaching, accountability, and mutually agreed strategies; and

NOW, THEREFORE, in consideration of the mutual covenants and agreements contained herein, the parties agree as follows:

Scope of Work

The Provider will deliver a program of services designed to reduce episodes of overeating, improve relationship with food, and support overall wellness. Services may include assessments, individualized plans, coaching sessions, meal-planning guidance, behavioral assignments, and progress reviews. Specific deliverables and frequency are described below and may be amended in writing by mutual consent.

Payment Terms

Total Fee: $    Payment Method:

Late Payment Fee: % of the overdue amount, assessed for any payment not received within days after the due date. Client authorizes Provider to suspend services for nonpayment after written notice and failure to cure within the notice period.

Term and Termination

Term Start Date:    Term End Date:

Either party may terminate this Agreement for any reason upon days' prior written notice to the other party. Provider may terminate immediately for material breach, threats to safety, or nonpayment. Upon termination, Client shall pay for all services rendered and reimbursable expenses incurred through the effective date of termination. Refunds, if any, will be prorated as set forth in Provider's cancellation policy below.

Confidentiality

All information exchanged in the course of the Provider's services that relates to the Client's personal health, eating behaviors, psychological state, measurements, and personal history is confidential and shall not be disclosed except as authorized in writing by the Client, as required by law, or as necessary to prevent imminent harm. Provider will take reasonable measures to safeguard Client records. Client expressly authorizes Provider to discuss relevant information with emergency medical personnel or licensed professionals if Provider reasonably believes there is a risk of harm.

The confidentiality obligations do not apply to aggregated, de-identified data used by Provider for program evaluation, provided that such data cannot be traced back to the Client.

By checking this box, the Client acknowledges understanding of the confidentiality provisions above.

Representations, Risks, and Acknowledgments

The Client represents that they have disclosed material medical conditions, current medications, and relevant mental health diagnoses to the Provider. The Client understands that the Provider is not a medical doctor and that coaching and nutritional guidance are not a substitute for medical or psychiatric care. If the Client requires medical treatment, the Client agrees to seek care from an appropriate licensed medical professional.

Risk Acknowledgment: By checking this box, the Client acknowledges that participation in behavioral change efforts may produce emotional discomfort and that the Client elects to proceed voluntarily.

Governing Law; Dispute Resolution

This Agreement shall be governed by and construed in accordance with the laws of the state of , without regard to its choice-of-law rules. The parties agree to attempt to resolve disputes by good faith negotiation. If unresolved, disputes shall be resolved by binding arbitration administered in the governing state, unless otherwise mutually agreed in writing.

Entire Agreement

This Agreement, including any attachments and written amendments signed by both parties, constitutes the entire agreement between the parties regarding the subject matter hereof and supersedes all prior and contemporaneous agreements, understandings, and representations, whether oral or written. No modification shall be effective unless in writing and signed by both parties.

Notices

Notices shall be deemed given when delivered in writing to the contact information provided above or by other written means mutually accepted by the parties.

Severability

If any provision of this Agreement is determined to be invalid or unenforceable, such provision shall be severed and the remaining provisions shall remain in full force and effect.

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