This Agreement is entered into between Lynise V. Green, N.D. ("Practitioner") with Inspired and Innovative Wellness Solutions LLC (2iWellness) and undersigned individual below ("Client") outlines the terms, expectations, and responsibilities for the personalized nutrition and wellness consulting engagement between Practitioner and Client. Its purpose is to ensure a clear understanding of the services provided, the nature of the consulting relationship, and the commitments required from both parties.
DURATION OF AGREEMENT
By signing this agreement, Client agrees to an initial consulting commitment of two (2) months (8-9 weeks).
SCOPE OF PRACTICE SUMMARY
Services provided in this engagement are educational and consultative in nature. They are not intended to replace medical diagnosis, treatment, or advice. The Practitioner does not diagnose, treat, or prescribe for any medical condition.
What’s Included
Five (5) 60-minute bi-weekly one-on-one coaching sessions
Email support available between meetings (Monday–Friday)
Personalized Nutritional Online Assessment
Personalized Nutrition Assessment Results Report
Customized list of foods specific to your dietary needs (as determined by the Online Assessment)
Supporting resource materials (guides, progress monitors, handouts, video, etc.)
SCHEDULING
Client is responsible for scheduling sessions
Sessions must be scheduled at least 48 hours in advance
Cancellations or rescheduling must occur at least 12 hours in advance
Cancellation/reschedule notifications may be sent via email or text
Meetings held virtually via Zoom or Google Meet unless otherwise mutually agreed
COMMUNICATION EXPECTATIONS
Email support is available Monday–Friday, and the Practitioner will make reasonable efforts to respond within 48 business hours. Clients are responsible for ensuring that communication is respectful, timely, and aligned with the scheduling and cancellation guidelines described in this agreement.
MUTUAL COMMITMENT
Both Practitioner and Client agree to participate fully, communicate openly, and act in good faith to support the success of this engagement.
CONFIDENTIALITY STATEMENT
All personal information shared during the consulting relationship will be kept confidential and will not be disclosed to any third party without the Client’s consent, except where disclosure is required by law.
REFUND POLICY
All payments made under this agreement are non-refundable. If the Client elects to discontinue services prior to the completion of the engagement term, no refunds or prorated refunds will be issued.
LATE ARRIVAL AND MISSED SESSIONS
Sessions begin and end at the scheduled time. If the Client arrives late, the session will still end at the originally scheduled time. Missed sessions or no-shows without proper notice (as defined in the cancellation policy) may not be rescheduled or made up.
CONSULTING FEES
Total fee for 2‑month engagement: $1,500
A one-time payment of $1,500 (less any applicable discounts) is due prior to starting the program.
LIABILITY WAIVER
The Client acknowledges that all decisions regarding their health and wellness are their own responsibility. The Client agrees to hold the Practitioner harmless for any outcomes resulting from the implementation or interpretation of any recommendations provided during the consulting engagement.
CLIENT STATEMENT
I understand that I am here to learn about better health practices, improved lifestyle behaviors, and nutrition, and that I may be offered information about nutrition (including food supplements and herbs), exercise, and other lifestyle interventions as guidance for overall wellbeing.
I understand that the coaching and consulting services offered by 2iWellness are intended to support better health, improve wellbeing, and enhance lifestyle behaviors. These services may include guidance on nutrition, exercise, and other wellness interventions as educational tools for achieving a healthier lifestyle.
I fully understand that many states, including but not limited to the Commonwealth of Virginia, have not adopted educational or training standards for the practice of naturopathy, and that those who counsel me are not medical doctors or practitioners. As such, I am not here for medical diagnostic purposes or medical treatment procedures.
I am not, on this visit or any subsequent visit, an agent for any federal, state, or local agency, nor am I on a mission of entrapment or legal investigation.
I understand that the services performed by Lynise V. Green, N.D. do not involve the diagnosis, treatment, or prescribing of remedies for diseases, but are restricted to consultation on the subject of wellness and are intended to support the achievement and/or maintenance of an optimal state of personal wellbeing.
I understand that none of the information, recommendations, or products discussed during my consultation sessions are intended to diagnose, treat, mitigate, or cure any disease.
I understand that all information provided—whether in person, online, or through self-study courses—is for educational purposes only and should not be construed as personal medical advice.
I understand that information collected may be used to generate statistics to enable 2iWellness to develop programs that better serve clients. My information will not be shared with anyone outside of 2iWellness without my prior consent.
I understand that 2iWellness policy requires that payment is due at the times services are rendered or in accordance with the guidelines outlined in the "Session Fees" and "Payment Options" sections of this agreement.
Agreement and Signature
By signing my name below and submitting this form, I confirm that I have read, understood, and agreed to all terms outlined in this agreement.
