Coaching Services Informed Consent, Disclosure Waiver and Release of Liability and Terms of Service Agreement
Welcome to LifeBase. We believe that transparency is the key to any healthy relationship. We appreciate that you trust us with information that is important to you, the “User” (collectively referred to throughout as “I”, “you”, “me”, “my” or “myself”), and we want to be transparent about how we use it. We appreciate that you have chosen to use one of our services. You will learn about the coaching services, platform suggestions, cancellation policies, data we collect, how we use it, the controls we give you over your information, and the measures we take to keep it safe.
Please contact us through our Support Team if you have any questions via email at firstname.lastname@example.org.
I acknowledge, fully understand and accept that the Nutrition Platform (“Platform”) enables one to one Coaching Services. I will receive automated Coaching from the Platform and the Platform will enable me to communicate with a live health, fitness, or wellness Coach (collectively “Coaching Services”) that is non-medical in nature. My personal nutrition coach (“Coach”) will typically be someone with which I have contracted for his or her services. However, Coaches may be provided by third parties, such as my employer, insurance company, or by third-party Coaching service providers (“Coach”). I understand, certify, consent and agree that during and after voluntarily signing up for the Platform and participating in Coaching Services from LifeBase the following:
- The Platform is designed to allow me to improve and make informed decisions about my health, but the Coaching Services are not meant to take the place of a primary care physician, they are not a substitute for a medical examination and neither my Coach or the Platform functions as a physician, to diagnose or treat disease, nor do these services replace the necessary services of a licensed physician. A nutrition consultation as provided by a Coach does not constitute a medical service or health care treatment. I am strongly encouraged that in addition to any health consultation, that I maintain a relationship with one or more physicians qualified to care for my health condition(s).
- It may be important to alert my primary healthcare provider to the fact that I’m consulting with my Coach as an adjunct to traditional care. Coaching Services may alter the need or efficacy of medications therefore it is imperative to fully disclose all medications and supplements at the initial consultation and to my primary healthcare provider. The Coaching Services provided are not considered to be medical advice and that I am encouraged to continue to pursue medical care with my healthcare provider.
- I assume all responsibility and any risks associated with the nutritional choices that I make. I agree to hold the Company harmless and release them from any liabilities associated with suggestions and information given by them to me relating to dietary changes or nutritional supplements. I specifically recognize and agree that I have been advised by the Company that dietary changes and/or the taking of nutritional supplements may have differing effects on individuals. I understand that with respect to changes in my diet or in my nutritional practices it is suggested that I consult with my physician and primary healthcare provider.
- I verify and confirm that I am physically healthy and have NOT been advised to NOT participate in the Platform by a qualified medical professional. I have NOT been advised to discontinue treatments with any other medical specialists or other health care providers. I assume full responsibility for any injuries or damages, known or unknown, sustained by participating in any Coaching Services and waive any claim I may have against Company. My acceptance is being given prior to my Coach rendering any service, advice, and/or suggestions whatsoever.
I acknowledge, fully understand and accept that the suggestions of the Platform are based upon a combination of the Company’s nutrition and health coaching education and knowledge of natural health literature and the company makes no representations, claims, or guarantees regarding the efficacy of suggestions. Individualized suggestions are offered and applied as an educational and informative consultation. Any action taken as a result of the consultation is done at the sole discretion and risk of User.
The Company provides no guarantee or assurances that through Coaching Services, I will achieve my wellness goals, lose weight, or overcome or avoid health issues, such as cardiovascular disease or diabetes. I acknowledge, fully understand and accept that the platform has limitations including, but not limited to:
- The nutritional food database utilized by the Platform is provided by a third-party and as such should not be assumed accurate.
- The suggestions provided by the platform, including but not limited to food suggestions or macro changes are based upon a number of data points, including the accuracy of the input data by the User and as such, cannot be assumed reliable.
- The Platform automatically reviews and creates scores, including but not limited to a Compliance Score, based upon the input data by the User. These scores accuracy are limited by a number of factors including the accuracy of the input data by the User and therefore cannot be assumed to be reliable, nor can obtaining specific Compliance Scores guarantee the user goals may, can or will be achieved.
DATA AND INFORMATION
- Each week I will measure my body on a bioelectrical impedance, body composition analyzer (“Analyzer(s)”) that utilizes a direct segmental multi-frequency analysis method, to provide data to the Platform. The Company exclusively owns the rights to my data generated by the Analyzer(s) and I allow the Company to hereby perpetually convey, assign, and exclusively license all rights of use to the Entity User Data (“the Data”) and Entity data derived, generated or outputted from the Analyzer(s), including, but not limited, to the Analyzer(s) and the Data used in conjunction with the Platform. These rights will survive the expiration or termination of this User Agreement.
- My consent will continue forever for both my identified data and de-identified data, unless I cancel my consent to my non de-identified data, in writing to (insert company name) at (insert address) or I use the Platform account settings and tools to withdraw my consent including by stopping the use of the Platform, removing my access to a third-party service, or deleting my non de-identified data or my account. However, this will not affect any information that has already been disclosed.
- A person to whom records and information are disclosed pursuant to this User Agreement, may not further use or disclose the medical information unless additional authorization is obtained from me or unless such disclosure is specifically required or permitted by law.
- I grant the Company the right and permission to take, use, re-use, publish, and republish photographic portraits or pictures of me or in which I may be included, in whole or in part, or composite or distorted in character or form, without restriction as to changes or alterations, in conjunction with my name or a fictitious name, or reproductions thereof in color or otherwise, made through any medium at the Company, and in any and all media now or hereafter known for illustration, promotion, art, editorial, advertising, trade, or any other purpose whatsoever. I also consent to the use of any published matter in conjunction therewith. I hereby waive any right that I may have to inspect and approve the finished product or copy that may be used in connection with an image that the Company has taken, or the use to which it may be applied. I further release the Company from any claims for remuneration associated with any form of damage, foreseen or unforeseen, associated with the proper commercial or artistic use of these images unless it can be shown that said reproduction was maliciously caused, produced and published for the sole purpose of subjecting me to conspicuous ridicule, scandal, reproach, scorn and indignity. I acknowledge that the photos, if any, were taken in a completely proper and highly professional manner, and this release in advance is willingly signed.
TERMINATION OR CANCELLATION OF PREMIUM SERVICES
I have reviewed, acknowledge, fully understand and accept the Cancellation Policy. Services and membership programs are collectively referred to as “Premium Services”. The Cancellation Policy is as follows:
- If you do not pay the fees or charges due for your use of the Premium Services, we may make reasonable efforts to notify you and resolve the issue; however, we reserve the right to disable or terminate your access to the Premium Services (and may do so without notice). You can cancel the Premium Services at any time. Once you have cancelled your Premium Service and received confirmation, no other changes can be made to your account. The cancellation of a Premium Service will go into effect at the end of your current billing cycle, and you will have the same level of access to the Premium Service through the remainder of such billing cycle. For example, if you are billed on a monthly basis and cancel during a given month, you will be charged for the entirety of that month and maintain access to the Premium Service through the end of that month. There are no refunds for termination or cancellation of your Premium Service. If you no longer wish to subscribe to a Premium Service, it is your responsibility to cancel your Premium Service in due time, regardless of whether or not you actively use the Premium Service.
USER CERTIFIES AND RELEASES
I certify that I am not a minor, and am free and able to give such consent. In consideration for being allowed to utilize the Platform, on behalf of myself and my next of kin, heirs and representatives, I release from all liability and promise not to sue the Company and its employees, officers, directors, volunteers and agents from any and all claims, including claims of negligence, resulting in any physical or psychological injury (including paralysis and death), illness, damages, or economic or emotional loss I may suffer because of my use of the Platform. I agree to hold the Company harmless from any and all claims, including attorney’s fees, that may occur as a result of my use of the Platform. If the Company incurs any of these types of expenses, I agree to reimburse the Company. If I need medical treatment, I agree to be financially responsible for any costs incurred as a result of such treatment. I am aware and understand that I should carry my own health insurance. I understand the legal consequences of signing this document, including (a) releasing the Company from all liability, (b) promising not to sue the Company, (c) and assuming all risks of utilizing the Platform. I understand that this document is written to be as broad and inclusive as legally permitted by the State of South Dakota. I agree that if any portion is held invalid or unenforceable, I will continue to be bound by the remaining terms. I have read this document, and I am signing it freely. No other representations concerning the legal effect of this document have been made to me. The Company reserves the right, in its sole discretion, to cancel, remove, modify, or suspend the User from the Platform for any reason whatsoever or for no reason. Any and all disputes, claims, and causes of action arising out of or in connection with the use of the Platform, shall be resolved individually, without resort to any form of class action.