Form 2 - Systematic Healing | Solutions For Optimal Wellness

CLIENT RESPONSIBILITIES AGREEMENT TRANSFORMATIONAL SESSIONS

By selecting this box and signing this form, you accept and acknowledge that this Client Responsibilities Agreement is entered into and effective on the day submitted here electronically, by and between Systematic Healing, LLC, a Texas Limited Liability Company (“Company”), and You (“Client”). This Client Responsibilities Agreement along with the Coaching Agreement signed by both parties defines how the parties will work together. For good and valuable consideration, Client agrees to purchase Transformational Sessions, coaching services sessions, (“Sessions”) from Company. Company agrees to provide coaching services (“Services”) for Client, using appropriate techniques in accordance with Client’s needs and in alignment with Company’s role as a Healing Minister. The parties agree to the following terms. COACHING SERVICES. Company’s Services, including coaching sessions, are not a substitute or alternative for medical services, mental health counseling, psychotherapy or other medical care provided by a licensed medical or mental health practitioner. Client is strongly advised to inform Company if Client does not understand the difference between coaching and medical care. Client is strongly advised to inform Company if Client does not understand the difference between coaching and therapy. Although Kevin Weiss is an Osteopathic Physician licensed in the state of California and New York, they are not acting in that capacity here. Kevin Weiss is acting as a Healing Minister, not as a licensed medical health professional, mental health professional, or in their professional capacity as an Osteopathic Physician. Do not delay diagnosis or treatment based on anything in Company’s Services. Do not postpone appointments, go without or adjust medications, or otherwise rely on Company’s Services as a substitute or alternative for medical or mental health care. Company will not diagnose, treat, heal, cure or prevent any illness, medical condition or mental condition as part of the Services of the Sessions. If Company deems, in its sole discretion, that its Services are not appropriate for Client, Company will terminate this Coaching Package and, when appropriate, will refer Customer to a licensed medical or mental health practitioner. For terminations due to this reason only, Company will provide a pro-rated refund for any unused sessions. By mutual agreement, Client and Company may instead elect to proceed with a credit for future Services. CONFIDENTIALITY. Company will maintain Client’s confidentiality and keep all information private unless required to disclose by law. Although Kevin Weiss is not acting in her/his capacity as an Osteopathic Physician in these Services, the ethical standards of licensed medical or mental health professionals may require reporting to responsible authorities if Client indicates actual or suspected abuse or neglect of a child, actual or suspected abuse of an elderly person, threat of self-harm or threat of harm to others. CLIENT RESPONSIBILITIES. Client acknowledges and agrees that Company's Services, including coaching, shall not be used as a substitute or alternative for medical services, mental health counseling, psychoanalysis or examination, or other medical or mental health services. Client is fully and solely responsible for all decisions and actions regarding mental health, medical, legal, business or family matters. Client is fully and solely responsible for Client’s own mental, emotional and physical well-being at all times. This includes all decisions and actions made before, during and after Company’s Services. Client is fully and solely responsible for all results. Client has discussed the appropriateness of Company’s Services with any current mental health or medical practitioners from whom Client is receiving treatment.

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