Terms and Conditions
I understand that True AfterCare, LLC (TAC) and its affiliates, employees and independent contractors (“Coach”) is providing a coaching service designed to reduce/prevent relapse in early recovery using technology, accountability, and personalized coaching support on a daily basis, but is NOT as a licensed health care practitioner or provider. Including Coach, any and all employees and independent contractors of Coach at no times are providing clinical advice or services. Even if such an individual is licensed to practice medicine, or as a licensed professional that person is not overseeing any care or any client in the capacity of a practitioner or provider. Rather, such individuals only oversee educational content developed for the Coach’s program. A TAC Recovery Coach is a peer recovery coach, and not a licensed therapist or clinician.
IN THE EVENT ANY CLIENT THREATENS TO CAUSE HARM TO HIMSELF, HERSELF OR OTHERS CLIENT SHOULD IMMEDIATELY CALL 911. IN THE EVENT CLIENT IS UNABLE TO DO SO AND OUR COACHES ARE IN A POSITION TO DO SO COACHES WILL CALL 911. COACH MAY REFER CLIENTS TO MENTAL HEALTH PROFESSIONALS SUCH AS PSYCHOLOGIST, PSYCHIATRIST, COUNSELORS, AND PHYSICIANS AND OR 24/7 HELP LINES.
I acknowledge and hereby request and voluntarily consent to the performance of peer recovery coaching on myself by TAC Coaches. I hereby consent for my Coach to provide me with peer recovery services for the above noted purposes including such assessments and techniques, which may be recommended, by Coach or its staff. Coaches will engage the use of technology which may include video, facetime, or skype for contacting client and client check-in’s as well as obtaining proof of swab for initial drug testing. Coaches and the TAC administrative team will also email daily reports to TAC clients and persons who are provided by the client onto their support network.
I acknowledge that my TAC Coach is not a physician and does not diagnose illness or disease or any other physical or mental disorder. I clearly understand that Coach’s guidance is not a substitute for a medical examination. It is recommended that I attend my personal physician and or mental health professional for any ailments that I may be experiencing. I acknowledge that no assurance or guarantee has been provided to me as to the results of the coaching. I acknowledge that with any coaching there can be risks and those risks have been explained to me and I assume those risks.
I acknowledge and understand that Coach may be aware of my existing medical conditions. I have disclosed to my Coach all medical conditions affecting me. It is my responsibility to keep Coach updated on my medical history. The information I have provided is true and complete to the best of my knowledge. I authorize Coach to release or obtain information pertaining to my condition(s) and/or treatment to/from my other caregivers or third-party payers, as applicable.
I understand that I may refuse or stop participation at any time. I also understand that TAC may end my program due to inactivity or noncompliance, engaging in threatening or harassing communication with TAC Coach, or if it is determined that a higher level of care and/or treatment may be necessary.
I have read the above consent. I have also had an opportunity to ask questions about its content, and by accepting these terms and conditions, I agree to the TAC coaching program. I intend this consent to cover the entire course of the TAC coaching program for my present condition and for any future condition(s) for which I seek support.
Release of Information: I understand it may be necessary for my Coach to contact another one of my health care providers to coordinate care, to discuss an emergency and/or to share appropriate personal health care information. If the coach may suspect a medical emergency, a wellness check may be initiated by the recovery coach. My acceptance gives TAC permission to release my medical records and personal health care information for the reasons listed above. I have read the above noted consent and I have had the opportunity to question the contents. By accepting this form, I confirm my consent to coaching. I understand that at any time I may withdraw my consent and coaching will be stopped.