REHABILITATION PROGRAM SERVICE AGREEMENT
This Rehabilitation Program Service Agreement ("Agreement") is made and effective this [DATE],
BETWEEN: HOLISTIC LIGHT REHAB
(the "Holistic Addiction Recovery Center"), a corporation organized and existing
under the laws of the State of New York, with its head office located at:
New York Alcohol & Drug Addiction Treatment Rehab Center
14 Wall Street, Fl 20, New York NY 10005, USA
and the treatment facility located at:
AND: [CLIENT NAME] (the "Client"), a citizen if [COUNTRY] residing at:
NOW, THEREFORE, in consideration of the mutual covenants set forth herein and intending to be legally
bound, the parties hereto agree as follows:
1. ADDICTION REHABILITATION SERVICES
The client hereby employs the company to perform the following services in accordance with the terms and
conditions set forth in this agreement: The company will provide addiction rehabilitation services in its Costa
Rican treatment facility including but not limited to group and individual counseling, psychologist and
addiction therapist consultations, yoga sessions, acupuncture sessions, massage sessions, personal diet,
wildlife nature tours etc.
2. TERMS OF AGREEMENT
This agreement will begin [DATE] and will end [DATE].
3. TIME DEVOTED BY COMPANY
It is anticipated the company will spend approximately 30 days in fulfilling its obligations under this
contract. The particular amount of time may vary depending on the severity of patient's condition. However,
the company shall devote a minimum of 28 days to its duties in accordance with this agreement.
4. PLACE WHERE SERVICES WILL BE RENDERED
The company will perform most services in accordance with this contract at its treatment facility in Samara
Beach, Costa Rica. In addition the company will perform services on the telephone and at such other places
as necessary to perform these services in accordance with this agreement.
5. PAYMENT TO COMPANY
The company will be paid a flat rate of [TOTAL FEE] for work performed in accordance with this agreement.
The company will submit an itemized statement setting forth the time spent and services rendered. This fee
is not refundable in case the patient decides to leave the program at his own discretion. A deposit of
[DEPOSIT AMOUNT] will be paid to guarantee the bed availability [AND/OR LOCK IN RATE] upon patient's
arrival to treatment facility.
6. INDEPENDENT CONTRACTOR
Both the company and the client agree that the consultant will act as an independent contractor in the
performance of its duties under this contract. Accordingly, the company shall be responsible for payment of
all taxes including Federal, State and local taxes arising out of the company's activities in accordance with
this contract, including by way of illustration but not limitation, Federal and State income tax, Social Security
tax, Unemployment Insurance taxes, and any other taxes or business license fee as required.
7. CONFIDENTIAL INFORMATION
The company agrees that any information received by the company during any furtherance of the company's
obligations in accordance with this contract, which concerns the personal, financial or other affairs of the
client will be treated by the company in full confidence and will not be revealed to any other persons, firms or
8. EMPLOYMENT OF OTHERS
The company may from time to time arrange for the services of others. All costs to the company for those
services will be paid by the company but in no event shall the companyemploy others without the prior
authorization of the company.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the day and year first
Authorized Signature Authorized Signature
Vladimir Kogan, CEO
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