Integrated Daily Dialogic Mentorship Customer Agreement
We appreciate the opportunity to work with you, as a client of IDD Mentorship, LLC (the “Company”). This letter confirms our mutual understanding as to the scope and terms of our engagement.
While we would prefer to confirm the terms of our engagement by a less formal method than a written statement such as this, by memorializing the terms of our engagement in writing, you are able to carefully review this agreement and determine if it is consistent with your understanding of our services and our respective responsibilities. We sincerely look forward to working with you.
Please read thoroughly each section before moving on to the next section.
Scope and Terms of Engagement:
We’ve developed a brand new form of professional accompaniment - Integrated Daily Dialogic Mentorship (“Mentorship”). Formed in the Catholic faith, we’ve found that the sciences alone are inadequate to address the true and deepest needs of the human person. We also know that our faith necessitates the open observation of the world around us offered through legitimate science.
We’re bringing faith and science together in a substantially new way, and offering this integration to help you reach your goals in your life.
Integrated Daily Dialogic Mentorship is very different from traditional psychotherapy, as outlined below.
What Mentorship Is Not:
Mentorship does not provide evaluation, assessment, amelioration, treatment, modification, or adjustment to a disability, problem, or disorder of behaviour, character, development, emotion, personality or relationships as defined by the mental health standards of the APA Diagnostic and Statistical Manual 5th ed (DSM5), or the International Classification of Diseases - 10th Edition (ICD10); nor do we use assessment instruments or mental health counseling and psychotherapy to identify, evaluate and treat dysfunctions and disorders for purposes of providing appropriate mental health counseling services.
Further, we do not furnish initial motivation for mentorship; engage in or sponsor research; keep attendance records or case histories; join “councils” of social agencies; try to control clients; make medical or psychological diagnoses or prognoses; provide outpatient mental health services, hospitalization, drugs, or any medical or psychiatric treatment; provide letters of reference to parole boards, lawyers, court officials, social agencies, employers; provide evidence for custody cases or provide reports for any court of law, governing board, organization, or agency for any reason.
All medical and psychological advice and treatment should come from a qualified professional that offers those services in an appropriate manner. Should your mentor feel these other services would be appropriate, a referral will be offered.
Fees for Service (please read carefully)
1. Fee structure will be based on your individualized agreement.
2. You will receive an invoice to be paid immediately for your first month. Unless otherwise
noted, this will be your program start date. If you are informed of a delay to start your
program, future payment dates will be based on your actual start date.
3. Your courtesy discount rate includes a 4% discount based on using our ACH transfer service,
which is provided to you through your first invoice and subsequent automatic payments. If
you prefer to pay by credit card, you will not receive this extra discount.
4. If you choose to pay by credit card instead of ACH transfer, your courtesy fee will then be adjusted. To choose this option, you must email firstname.lastname@example.org for a new invoice. The initial invoice is automatically selected for ACH payments.
5. By signing this agreement, you accept our payment terms and agree to have your checking account or credit card automatically charged on the first day of your next month.
6. You will be emailed a copy of your paid receipt each month.
7. Payments are automatic and non-refundable unless cancelled. Cancellations must be
requested at least one week (7 days) before the end of your month.
A Special Note About Cancellation
The goal of our program is to help you resolve your difficulties that you come to us for as efficiently as possible. This means we hope for you to “cancel” as soon as possible. We also recognize that there may be circumstances for which you need to cancel sooner than later. Either way we want to make it as easy as possible to end, pause, or otherwise cancel your recurring payments and participation if that is what you desire.
However, it is also a very important part of the work together to have time to discuss wrapping up the work together. The experience of speaking daily with someone can be difficult to end abruptly, and especially without preparation, processing, or notice. Therefore, we require at least one week advanced notice to end the month of Mentorship for the following month’s recurring fee to not be auto-charged. This is a non-refundable policy and by signing this agreement, you are also agreeing ahead of time that you will commit to cancelling your mentorship with a week of notice or more, so that your Mentor has the time to process this transition with you. Again, this policy is not to make it more difficult to cancel, but to make the transition more appropriate.
In order to cancel, you simply have to send in your notice through www.iddmentor.com/cancel. This link will be made available to you easily and repeatedly, on each invoice and visible on our website. If you do not cancel through this portal prior to the last 7 days of your month, we will autocharge your payment method for the next month and will not issue a refund.
Refund Policy - The Mentorship Model Promise
As advertised, you are entitled to a full refund after your first two weeks of joining our program if you are not satisfied after giving it a try. In order to be eligible for this refund, you must use the Voxer app to leave messages for 2 full weeks (10 days). At the end of the 2 weeks, please fill out the cancellation form found at www.iddmentor.com/cancel and indicate that you are in your refund period and would like a refund. (2 weeks notice is not required as described above for a refund according to this paragraph.)
The Month-Long “Frame”
Mentorship is offered in a manner that is more easily integrated to the normal ebb and flow of your life. You can leave messages and listen to messages when it’s convenient for you, and when it is important for you. We are therefore stretching the normal conceptualization of the “therapeutic frame” (which is a technical term for the timeframe and space where growth can happen.)
Instead of aiming for growth to occur as a result of 45 minute sessions, the frame is stretched across the full month. This means there might be a certain ebb and flow to the way the messages are utilized across the month, just as there may be periods of silence, deep reflection, charged emotion, and more or less talking by the client or the professional within a 45 minute session. There are no specific expectations or requirements for the client within this frame. At the same time, we do not piece-meal the exact or specific days of a month to try to calculate the cost. For instance, if one month has 29 days and another month has 31 days, there is no difference in the fee. If weekends happen to fall in such a way that the month has fewer weekdays, there will be no difference in the fee. Also, a Mentor may omit leaving a message on a particular public or religious holiday. Therefore it is understood as a part of this agreement that a Mentor may have up to two days unavailable during the month due to a holiday or personal reason. If a Mentor is unavailable for more than two normal work days in a given billing cycle, however, the date of autopay will be moved ahead accordingly.
Special Notes for Voxer Access
1. Mentorship requires use of a phone/tablet app called Voxer, available for download from the Apple and Google Play Stores. It is a free app. Voxer allows for recorded audio messages or typed chat-type messages. This platform provides a private channel for you to have ongoing dialogue with your Mentor separate from the normal chat or voice apps you typically use. The dialogue becomes an ongoing and integrated source for reflection, insight, and processing, without having to artificially start and stop once a week. It also allows you to have the convenience of voicing your part of the dialogue at any time of the day or any day of the week, 24/7.
2. The paid version of the app allows for deletion (recall) of the messages you leave. It also allows you to retain messages for longer than 30 days. The free version deletes messages after 30 days. It is not necessary to use the paid version but you may if you wish.
3. The Voxer platform may also be accessed through a web browser at www.voxer.com.
4. Your mentor will respond to your messages once per day, Monday through Friday.
5. You may message your mentor as frequently as you would like. There are no strict limitations placed on the frequency of the messages you send.
6. We ask that you generally aim to not leave more than one 15-minute message per day (or a combination of messages that equal more than 15 minutes.) This limit allows your Mentor to respond to a short enough duration of message(s) to give you the proper and due attention and reverence that anything you have to say deserves.
7. Voxer stops recording audio messages after 15 minutes. Please be aware of this so that you don't continue speaking once the recording has stopped.
PRO-TIP: Once you have opened Voxer, go to the settings, click "Audio and Notifications" and then you'll see a feature called "Tap-to-Talk." This feature allows you to tap the speak button (the one with a walkie-talkie logo) instead of holding it down to record your voice and send your message. Ask us for help - we'll be happy to assist you.
We will not share any information you provide to us with any third-parties without your permission unless legally compelled to do so. Your Mentor may discuss your information with other Mentors and occasionally your information will be reviewed by the IDDM team for the purposes of supervision and training. Any identifying information is omitted from information shared with the IDDM team for training purposes or being used for educational purposes.
Mentorship is not protected by the same laws that govern the practice of psychotherapy. Please be aware that this service is not psychotherapy and does not fall under the jurisdiction of state licensing boards or HIPAA regulations.
If you have any particular concerns about confidentiality, please bring them up with your Mentor. Additionally, the information discussed in our work together is not protected by any legal privilege and is meant for your own personal education, not legal proceedings. Hence, by signing this agreement, you agree not to subpoena your Mentor to testify for you or against someone else. If the purpose of your work with us involves legal aims, we will be happy to refer you to another professional.
Additional Considerations Related To Confidentiality:
Message Recordings: Recorded messages are saved within the Voxer app, and can be accessed by anyone with access to your phone. If there is sensitive information that you would like protected from the possibility of anyone else hearing, it is recommended that you utilize the paid version of the app so that you can "recall" or delete the sensitive messages. On occasion the messages will be reviewed by the IDD Mentorship team for the purposes of supervision and training. Identifying information is omitted from shared audio.
Educational Use: Additionally, the recordings of the mentor's messages are the property of the IDD Mentorship and may be used for training or educational purposes, including but not limited to social media posts, blogs, or podcasts. Identifying information will always be omitted.
Supervision and Consultation
We may consult with other professionals and share recordings or other data. During consultation and supervision, identifying information is omitted from case descriptions. Additionally, those involved in consultation have the same ethical obligations and will preserve confidentiality of your information to the extent permitted by law.
Suicidal and Homicidal Ideation
To be clear, we believe that we have a responsibility to protect your life and the lives of others. While we do not provide medical or psychological services, if you make us aware of suicidal or homicidal ideation we will immediately make a phone call to 911 and to your emergency contact if we feel your life or someone else's is in danger.
The threat level is assessed by considering:
1) Ideation: The suicidal or homicidal thought;
2) Plan: Thinking through how to actually carry it out;
3) Intent: Extent to which you believe you will carry out your plan to its lethal end, including the presence of intended means to carry out the action;
4) Past Behavior: Assessment of how these thoughts fit into the overall conceptualization of what you are suffering from and what has occurred in the past.
If any level of this assessment is not clearly articulated and we feel there may be a real and lethal threat, we will immediately make a phone call to local authorities.
Other Reasons For Reporting
Other exceptions to confidentiality which we believe oblige your Mentor to provide information to the proper authorities include:
1) When there is reasonable suspicion of child, elder, or dependent adult abuse or neglect;
2) When there is reasonable suspicion that a client is a threat to national security.
Your mentor does not provide emergency services. It is important, then, for you to call 911 or go to your nearest emergency room if you are in an emergency situation. We request that you do let us know as soon as you are able to inform us of the situation, and we will respond as soon as possible. This may be 24 to 48 hours later.
This Agreement contains the entire agreement of the parties and there are no other promises or conditions in any other agreement whether oral or written. This Agreement supersedes any prior written or oral agreements between the parties.
This Agreement may be modified or amended if the amendment is made in writing and all parties are notified of such ammendments.
If any provision of this Agreement shall be held to be invalid or unenforceable for any reason, the remaining provisions shall continue to be valid and enforceable. If a Court or Arbitrator finds that any provision of this Agreement is invalid or unenforceable, but that by limiting such provision it would become valid and enforceable, then such provision shall be deemed to be written, construed, and enforced as so limited.
Any controversy or claim arising out of or relating to this contract, or the breach thereof, shall be settled by arbitration administered by the American Arbitration Association under its Consumer Arbitration Rules, in Stamford, Connecticut and judgment on the award rendered by the arbitrator(s) may be entered in any court having jurisdiction thereof.
Notwithstanding anything to the contrary, the Parties to this Agreement reserve the right to seek injunctive relief before any court of competent jurisdiction.
This Agreement shall be construed under and in accordance with, and interpreted under, the laws of the State of Connecticut without regard to the conflicts of laws principles thereof. As indicated above, the Parties to this Agreement may seek injunctive relief before any court of competent jurisdiction in the State of Connecticut. Additionally, in the event that any dispute is not resolved through arbitration, any legal proceeding regarding this Agreement shall be instituted in a court of competent jurisdiction located within the State of Connecticut.
Limitation of Liability.
IDD Mentorship, LLC, its agents, independent contractors, employees and officers’ liability for damages for any claims including any alleged incidental or consequential damages, is limited to and shall not exceed the total compensation paid by you to IDD Mentorship, LLC over three months preceding the termination of the parties’ agreement.
Your mentor is committed to honoring and respecting each client and providing the best service possible. If you feel that you have been treated unfairly in any way or have questions on any aspect of the mentorship, please let your mentor know immediately.
This Agreement may be executed in more than one counterpart, each of which when so executed shall be deemed to be an original and all of which when taken together shall constitute one and the same instrument. Facsimile or scan copies of signatures shall be deemed originals for all purposes. Please sign below to indicate that you have fully read and understand everything written above. Statement of Understanding: By signing below, I indicate that I have reviewed and understand the above information and that I have had my questions answered by my mentor, and that I agree voluntarily to its terms. I understand that I may withdraw from this program at any time, but if I decide to do this, I will discuss my plan with my mentor before acting on it.