Envision Your Wellness Membership Contract
This Membership Agreement (the "Agreement") is entered into on today's date between Envision Your Wellness, an Ohio corporation, with its principal place of business at 6551 Wilson Mills Road, Mayfield Village, OH 44143.
MEMBERSHIP TERM AND CANCELLATION POLICY:
The term of this membership begins on the Effective Date and will continue on a recurring basis until canceled by the member in accordance with this policy.
For monthly memberships, billing occurs once per month. Members must submit written notice of cancellation to [email protected] at least 30 days in advance. Membership will remain active and billing will continue during the 30-day notice period. No refunds will be issued for any portion of the month once billed. After the notice period, the membership will be canceled.
For yearly memberships, no refunds will be issued once payment is processed. However, members may cancel their membership by providing written notice at least 30 days prior to the renewal date to avoid being charged for the next year.
- MEMBERSHIP FEES:
The Client agrees to pay the membership fees which will be billed to the credit card used to enroll in the membership and billed monthly. If the charge does not go through, the company will contact the client and the client will have 10 days to provide an alternative credit card.
- MEAL PLAN GUIDES:
As part of the membership, the Company agrees to provide the Client with meal plan guides for the duration of the membership term. The Client acknowledges that the effectiveness of the meal plan guides is contingent upon adherence to the provided guidelines. The client acknowledges that the meal plan guides are diverse and if they have allergies or restrictions they can alter the recipes on their own. The Company is not responsible for illness or health concerns associated with making the recipes.
- WELLNESS COACHING:
The Company agrees to provide wellness coaching services to the Client throughout the membership term. The coaching sessions will be conducted virtually and will focus on the group’s overall well-being, fitness goals, and lifestyle improvements. If the client is seeking more individualized support through 1:1 coaching she can contact the company regarding those services. 1:1 coaching is not available through the group membership.
CONFIDENTIALITY:
Both parties agree to keep confidential all non-public information disclosed during the course of the membership, including but not limited to proprietary information related to the meal plan guides, coaching, and virtual assistant services.
GOVERNING LAW:
This Agreement shall be governed by and construed in accordance with the laws of Ohio
ENTIRE AGREEMENT:
This Agreement contains the entire understanding between the parties and supersedes all prior agreements, whether oral or written.
IN WITNESS WHEREOF, the parties hereto have executed this Membership Agreement as of the Effective Date.
Client name:
Client signature:
Date: _______________________
(signed and dated electronically when client clicks box to agreeing to terms of service)
Elizabeth S. Esparaz M.D., LLC
Health Disclosures:
Before participating in the group health and wellness program, it is important to consider your current health status. If you have not been regularly exercising or have any underlying health conditions, it is strongly recommended that you consult with your physician or a qualified healthcare professional to ensure you are in good health and able to safely engage in a fitness regimen. This is particularly important if you have any pre-existing medical conditions, injuries, or concerns that may affect your ability to engage in physical activities.
Please note that the group health and wellness program is not a substitute for professional medical advice, diagnosis, or treatment. The program is designed to provide general guidance and support for individuals looking to improve their overall health and well-being. It is always recommended to seek appropriate medical advice and supervision when making significant changes to your exercise routine or overall health practices.
Results Disclosure:
While participating in the group health and wellness program, it is important to recognize that individual results may vary. The program offers guidance, support, and resources to help you work towards your fitness goals, but it does not guarantee specific outcomes or results. The level of success you experience in achieving your fitness goals will depend on various factors, including your commitment, effort, consistency, and individual circumstances.
It is important to maintain realistic expectations and understand that progress may occur at different rates for different individuals. The program encourages active participation and consistent effort to maximize the potential benefits. However, it is important to remember that there are no guarantees of specific results or outcomes.
By participating in the group health and wellness program, you acknowledge and understand that your individual results may vary. The program provides tools, education, and support to help you make positive changes to your health and fitness, but the ultimate responsibility lies with you. Your commitment, dedication, and consistency in following the program will greatly influence your progress towards your desired goals.
Remember, the more actively you engage and participate in the program, the more likely you are to experience positive changes and improvements in your overall health and well-being.
By signing, I understand the risks and responsibilities of participating in this group health coaching program.
Client name:
Client signature:
Date: _______________________
(signed and dated electronically when client clicks box to agreeing to terms of service)
Accepted and Agreed by:
Elizabeth S. Esparaz M.D., LLC
COPYRIGHT DISCLOSURE AND CONFIDENTIALITY AGREEMENT
I, [Client Name], hereby acknowledge and agree to the following terms and conditions regarding the copyright protection and confidentiality of materials provided by Elizabeth S. Esparaz M.D., LLC:
Copyright Ownership:
- All materials, including but not limited to documents, reports, designs, software, and any other intellectual property, provided by Elizabeth S. Esparaz M.D., LLC are protected by copyright laws and other applicable intellectual property rights.
- Elizabeth S. Esparaz M.D., LLC retains full and exclusive ownership of all copyrights and intellectual property rights related to the provided materials.
Restricted Usage:
- I understand and agree that the materials provided by Elizabeth S. Esparaz M.D., LLC are for internal use by [Client Company Name] only.
- I will not reproduce, distribute, modify, or create derivative works based on the materials without prior written consent from Elizabeth S. Esparaz M.D., LLC.
Confidentiality:
- I acknowledge that the materials provided by Elizabeth S. Esparaz M.D., LLC may contain proprietary or sensitive information, including trade secrets, processes, strategies, or other confidential information.
- I agree to maintain the strictest confidentiality regarding these materials and will take all necessary measures to prevent unauthorized access, use, or disclosure.
Non-Disclosure:
- I will not share the materials provided by Elizabeth S. Esparaz M.D., LLC with any third parties, including but not limited to competitors, consultants, or contractors, without obtaining prior written consent from Elizabeth S. Esparaz M.D., LLC.
- I will not use the materials in any manner that may harm or negatively impact Elizabeth S. Esparaz M.D., LLC or its business interests.
Legal Compliance:
I understand that unauthorized distribution, reproduction, or use of copyrighted materials may infringe upon intellectual property laws and expose both Client and Elizabeth S. Esparaz M.D., LLC to legal consequences. I agree to comply with all applicable copyright and intellectual property regulations.
Term:
This agreement shall remain in effect for the duration of our business relationship and will survive termination or completion of any project.
By signing below, I acknowledge that I have read and understood the terms and conditions outlined in this Copyright Disclosure and Confidentiality Agreement. I agree to abide by these terms and undertake to ensure compliance within my organization.
Client name:
Client signature:
Date: _______________________
(signed and dated electronically when client clicks box to agreeing to terms of service)
Accepted and Agreed by:
Elizabeth S. Esparaz M.D., LLC
ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, Elizabeth S. Esparaz M.D., LLC (we, us, or Company) may be required by law to provide you with certain written notices or disclosures. Described below are the terms and conditions for providing such notices and disclosures electronically. Please read the information below carefully and thoroughly. If you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (ERSD), please confirm your agreement by signing below.
Withdrawing your consent
If you decide to receive notices and disclosures from us electronically, you may change your mind at any time and inform us that you want to receive required notices and disclosures only in paper format. To inform us of your decision to receive future notices and disclosures in paper format and withdraw your consent to receive them electronically, follow the process described below.
All notices and disclosures will be sent to you electronically
Unless you inform us otherwise in accordance with the procedures described herein, we will provide all required notices, disclosures, authorizations, acknowledgments, and other documents electronically through the Document system. To ensure you receive all the disclosures and notices, we prefer to provide them all electronically or in paper format through the mail delivery system to the address you have provided. If you do not agree with this process, please let us know as described below.
How to contact Elizabeth S. Esparaz M.D., LLC
To inform us of changes to how we may contact you electronically, to request paper copies of certain information, or to withdraw your prior consent to receive notices and disclosures electronically, use the following contact details:
Email: [email protected]
To inform Elizabeth S. Esparaz M.D., LLC of your new email address
To notify us of a change in your email address where we should send notices and disclosures electronically, send an email to [email protected]. In the body of the request, include your previous email address and your new email address. No other information is required to change your email address.
To request paper copies from Elizabeth S. Esparaz M.D., LLC
To request delivery of paper copies of previously provided notices and disclosures, send an email to [email protected]. In the body of the request, provide your email address, full name, mailing address, and telephone number. Any applicable fees will be billed at that time.
To withdraw your consent with Elizabeth S. Esparaz M.D., LLC
To inform us that you no longer wish to receive future notices and disclosures in electronic format, you may: Send an email to [email protected]. In the body of the email, include your email address, full name, mailing address, and telephone number. No other information is needed to withdraw consent.
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- You can access and read this Electronic Record and Signature Disclosure.
- You can print this Electronic Record and Signature Disclosure on paper or electronically save it for future reference and access.
- You can email this Electronic Record and Signature Disclosure to an email address where you can print it or save it for future reference and access.
If you consent to receive notices and disclosures exclusively in electronic format as described herein, please sign below.
By signing you confirm that:
- You can access and read this Electronic Record and Signature Disclosure.
- You can print this Electronic Record and Signature Disclosure on paper or electronically save it for future reference and access.
- Until you notify Elizabeth S. Esparaz M.D., LLC as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgments, and other documents that are required to be provided or made available to you by Elizabeth S. Esparaz M.D., LLC during the course of your relationship with Elizabeth S. Esparaz M.D., LLC.
Electronic Signature :
Date:
Elizabeth S. Esparaz M.D., LLC Use Approval & Release Form
Thank you for providing a written or video testimonial, logo, case study/client profile, video, audio, or photograph in connection with your experience working with Elizabeth S. Esparaz M.D., LLC, and/or its subsidiaries. No form of advertising we could buy is more powerful than a satisfied client.
To approve the use of the foregoing, please sign and date this form. Our use of the foregoing will not result in fees or other remuneration. In the event we would like to include your logo in marketing collateral, we have included statements covering such usage below. Every effort will be made to ensure the accuracy of the information supplied herein, although we retain the right to edit for punctuation and spelling.
By checking this box, you are authorizing the use of media, including, but not limited to, sharing audio, photographs, company logo, company name, and quotes to be published or shared for internal or external marketing purposes such as Elizabeth S. Esparaz M.D., LLC's social media, press releases, website pages, and other digital promotion pieces to be used as promotional items for Elizabeth S. Esparaz M.D., LLC and/or its subsidiaries. Elizabeth S. Esparaz will always ask for verbal or text confirmation before sharing your feedback/testimonials (audio, photos, texts, name, quotes) as well.
I hereby release, defend, indemnify, and hold harmless Elizabeth S. Esparaz M.D., LLC, its Governing Board, partners, officers, employees, or agents from and against any claims, damages, or liability arising from or related to the use of the images, recordings, or materials, including but not limited to claims of defamation, invasion of privacy or rights of publicity or copyright infringement, or any misuse, distortion, blurring, alteration, optical illusion, or use in composite form that may occur or be produced in taking, processing, reduction, or production of the finished product, its publication, or distribution.
I am 18 years or older, and I am competent to contract in my own name. I have read this document before signing, and I fully understand the contents, meaning, and impact of this consent, waiver, indemnity, and release. This consent, waiver, indemnity, and release are binding on me, my heirs, executors, administrators, and assigns.
- Length of Use
Elizabeth S. Esparaz M.D., LLC has your approval as you have indicated above until such time you inform your Elizabeth S. Esparaz M.D., LLC engagement contact you wish to discontinue use.
- Approval
I hereby grant Elizabeth S. Esparaz M.D., LLC the usage rights as indicated above. Your
Client name:
Client signature:
Date: _______________________
(signed and dated electronically when client clicks box to agreeing to terms of service)
Accepted and Agreed by:
Elizabeth S. Esparaz M.D., LLC
Wellness Collective Membership Rules
1️⃣ Respect & Confidentiality – What’s shared in the group stays in the group. No sharing others’ personal stories without consent.
2️⃣ Support Over Judgment – We uplift, not criticize. No shaming or unsolicited advice—offer support when asked.
3️⃣ Safe & Inclusive Space – No discrimination, hate speech, or harassment. Respect different perspectives and experiences.
4️⃣ Boundaries Matter – No spamming, self-promotion, or unsolicited DMs. Honor your own needs and respect others’ limits.
5️⃣ Prioritize Well-Being – This is a space for healing, not medical or legal advice. Seek professional support when needed.
⚠️ Failure to meet these standards may result in removal from the group at the administrator’s discretion.