NUTRITION COACHING AGREEMENT

CANCELLATIONS AND MISSED APPOINTMENTS

Please do your best to adhere to your appointment. If you need to move or cancel your scheduled appointment, please do so 24 hours in advance. You are responsible for the full session fee if you fail to show up for your appointment without any notice.

FEES AND PAYMENT

You agree to the designated fees detailed in your Coaching Plan at the time of Agreement. Payment must be made in advance of services unless other arrangements have been made. Payment will be made directly to The Elephant Rooms TCI.

You understand that the policy of Itura Health requires payment in full for all services rendered at the time of visit, unless other financial arrangements have been made.

CONTACT & COMMUNICATION

Please feel free to contact me between scheduled follow-up sessions for questions and accountability check ins. I can be reached by email at doctor-teju@hushmail.com or call me on WhatsApp at 909-800-6205 between 9:00 AM CST & 4:00 PM CST Monday thru Thursday. I may respond outside of normal business hours, but it is not required.

PRIVACY

As a part of nutritional coaching services, you may be asked to provide information concerning your physical habits, medical history, moods, energy levels, likes and dislikes, lifestyle and diet. Client information and records are confidential unless I receive your advance permission to disclose or except as required by law. All of our conversations and information exchanged is confidential.

CLIENT RESPONSIBILITIES

You agree to cooperate in completing questionnaires/food logs/other assessment material on a timely basis so productive coaching can occur. You know as a Client you are responsible for the actions you take. You have the sole responsibility to contact your physician for approval for participation in coaching if coaching is for health reasons. You recognize that any activity in which problems/life situations are discussed bears some risk, which you the Client agree to accept in its entirety. You agree to hold harmless and indemnify Dr. Tejumade Williams, DO and Itura Health from any liability whatsoever resulting from your participation in coaching activities, including but not limited to medical expenses. You accept the risk of any decision, action or outcome based on the coaching relationship. You acknowledge that expectations and results or participation in coaching activities vary among individuals and that each individual may not receive the same benefit.

You agree that Coach may discontinue services to you upon notification to you in writing for any reason, including the following: your failure to cooperate to the best of your ability in the activities and schedules planned; non-payment of fees.

Client shall provide at least a two (2) week notice to Coach if client wishes to discontinue coaching services.

HEALTH COACH: Dr. Tejumade Williams, DO