PERFECT PATHWAYS CLIENT AGREEMENT
This Client Service Agreement (“Agreement”) is made between Perfect Pathways Life Skills Center (“Provider”) and the Client/Client’s Legal Guardian (“Client”). By scheduling services, signing below, or submitting the online intake form, the Client agrees to the following terms:
1. Description of Services
Perfect Pathways provides non-medical support services, including but not limited to:
- Life skills coaching
- Community integration
- Social development
- Recreational outings
- Employment readiness training
- Personal development support
- Daily living skills assistance
- Respite-style caregiver relief (non-medical)
Services are not medical, not therapy, and not clinical.
2. Scheduling & Attendance
- All services are by appointment only.
- Sessions must be scheduled in advance through the website, text, or phone.
- Late arrivals shorten the session but full payment is still required.
3. Payment Terms
All services are private-pay only unless otherwise stated.
- Payment is due before or at the start of each session.
- Accepted forms of payment: Cash, debit/credit card, Zelle, or invoice.
- No refunds for completed sessions.
4. Cancellation Policy
- Cancellations must be made at least 24 hours before the appointment.
- Same-day cancellations or no-shows require full payment for the session.
5. Safety & Conduct
To protect staff and clients:
- Provider reserves the right to stop a session if safety becomes a concern.
- Aggressive or unsafe behavior may result in service termination.
- Clients must follow community and program rules during services.
6. Confidentiality
All personal and family information is kept confidential except where required by law:
- Abuse or neglect reporting
- Safety threats
- Court orders
- Provider follows all Tennessee confidentiality and privacy expectations for non-medical support organizations.
7. Transportation
Provider may transport clients during community outings.
By signing this Agreement, guardian/client gives permission for transportation in staff vehicles.
8. Liability
Client/guardian understands:
Provider is not a medical service.
Provider is not responsible for injuries resulting from unsafe client actions.
Provider carries general liability precautions but cannot guarantee risk-free environments.
9. Termination of Services
Either party may end services at any time with written or verbal notice.
Provider may terminate immediately for repeated no-shows, unsafe behavior, or nonpayment.
10. Agreement
By signing below (or submitting the online form), the Client/Guardian agrees to all terms.
Client Name:
Guardian Name (if applicable):
Phone:
Signature:
Date: