top of page

Safe Haven Client Agreement

Client Agreement and Release of Liability

This Client Agreement ("Agreement") is entered into on the date of signature by and between:

Service Provider Name: Safe Have Home Assessments a trademark of Upstream Population Health Ltd. Co., its staff and contractors.
Client Name: As undersigned
Service(s) Provided: Virtual Home Safety Assessment

 

1. Services Provided

The Service Provider agrees to provide a virtual home safety assessment to the Client. The services are intended to assist in evaluating and/or improving the Client's living environment, accessibility, or other aspects as requested by the Client.

 

2. No Guarantee of Injury Prevention

The Client understands and acknowledges that, while the Service Provider will take reasonable precautions and provide professional advice, the services provided do not guarantee that injury, harm, or accident will not occur as a result of the recommended modifications or advice. The Client agrees that these services are offered with the understanding that no guarantee can be made as to their effectiveness in preventing accidents or injuries.

 

The Client further acknowledges that their use of the advice, suggestions, or modifications is voluntary, and they are solely responsible for ensuring their own safety and well-being in implementing any recommendations made.

 

3. Release from Liability

By entering into this Agreement, the Client agrees to release, indemnify, and hold harmless the Service Provider, its officers, employees, agents, and contractors from any and all liability, claims, demands, or causes of action, including but not limited to claims for personal injury, property damage, or wrongful death arising from the Client's use of the services or any actions taken based on the recommendations provided.

 

This release includes, but is not limited to, claims arising from:

  • Accidental injury or property damage during or after the service.

  • Injuries occurring due to improper use or failure to follow instructions.

  • Any injury caused by an external factor that was not identified during the service.

 

The Client agrees that this release applies to any and all claims that may arise during the course of providing services and after the service has been rendered.

 

4. Client Responsibilities

The Client agrees to:

  • Provide accurate and truthful information to the Service Provider regarding the needs and circumstances.

  • Follow all safety recommendations provided by the Service Provider.

  • Notify the Service Provider promptly of any issues or concerns arising during or after the services are rendered.

 

5. Payment Terms

The Client agrees to pay for the services rendered by the Service Provider in accordance with the payment terms specified in the invoice. Payments are due upon scheduling the appointment. No refunds for cancelations less than 48 hours in advance. No refunds after the services have been rendered.

​

6. Confidentiality

The Service Provider agrees to maintain the confidentiality of all information shared by the Client, except as required by law or as necessary to provide the agreed-upon services.

 

7. Termination of Agreement

Either party may terminate this Agreement by providing written notice to the other party. In the event of termination, the Client remains responsible for payment of services rendered up to the date of termination.

 

8. Governing Law

This Agreement will be governed by the laws of Collin County, Texas without regard to its conflict of law provisions.

 

9. Entire Agreement

This Agreement constitutes the entire agreement between the Service Provider and the Client and supersedes all prior agreements or understandings, whether written or oral, relating to the subject matter hereof.

 

Binding Agreement and Online Signature

By signing this Agreement electronically by scheduling the appointment and entering your legal name, the Client acknowledges and agrees that their online signature is legally binding and has the same effect as a physical signature. The Client understands that by using the electronic signature, they are expressing their consent to be bound by the terms and conditions set forth in this Agreement. The Client further acknowledges that they have read, understood, and voluntarily accepted all the terms contained herein.

​

The Client agrees that the use of an online signature is an electronic manifestation of their consent and that the signature will be legally enforceable and admissible in any legal or regulatory proceedings as if it were a handwritten signature. The Service Provider and the Client both agree to the use of electronic signatures for the purpose of executing this Agreement, and no further physical signatures are required for this Agreement to be effective.

Family

DOCTOR JENN

  • LinkedIn
  • Instagram
bottom of page