Clean Slate Clinic - 12 Month Program Terms of Service

12 Month Program - Terms of Service - PHI

1. Agreement

This Services Agreement (“Agreement”) is made between Applied Recovery Co Pty Ltd (ABN 59 646 251 630) trading as Clean Slate Clinic (“Clean Slate Clinic”) and the individual agreeing to these terms (“Client”). This Agreement sets out the terms under which Clean Slate Clinic will provide its services to the Client. These services will be funded by the Client's Private Health Insurance provider ("Insurer"), subject to the insurance eligibility requirements and conditions outlined in this Agreement.

By signing this document, the Client confirms acceptance of these Terms of Service, the Privacy Policy accessible here: Clean Slate Clinic Privacy Policy, and any required consents. The Client acknowledges that this is a legally binding document.

2. Eligibility for Funding

The Client acknowledges and agrees that payment for the Services provided under this Agreement is contingent upon the Client maintaining:

(a) Active and current membership with their Insurer;

(b) The same level of coverage as at the commencement of treatment; and

3. Changes to Insurance Status

The Client must immediately notify the Clean Slate Clinic of any changes to their insurance status, including but not limited to: downgrades in coverage, lapses in premium payments, or termination of insurance policy.

4. Financial Responsibility

If at any time during the course of the program:

(a) The Client’s insurance coverage lapses, is downgraded, or otherwise becomes ineligible for the level of benefits initially verified;

(b) The Insurer refuses payment for the Services for any reason related to the Client’s coverage or eligibility; or

The Client shall automatically become personally and immediately liable for the payment of all fees and charges for any Services rendered, including the entire remaining cost of the program not already paid for by the Insurer.

5. No Responsibility for Insurance Matters

Clean Slate Clinic is not responsible for resolving any disputes between the Client and their Insurer. While Clean Slate Clinic may assist with initial insurance verification, the Client remains solely responsible for understanding their insurance benefits, limitations, and maintaining eligibility throughout treatment.

6. Cancellation

(a) If the Client cancels an appointment less than 48 hours before the appointment time or does not attend an appointment, the appointment is forfeit. Additional appointments can be purchased, if required.

7. Obligations and Warranties

Clean Slate Clinic warrants that all personnel delivering services are appropriately qualified, trained, and experienced in accordance with Australian healthcare regulations. Services will be provided with due care and in compliance with Clean Slate Clinic’s Privacy Policy and clinical guidelines.

8. Amendments

This Agreement may only be amended in writing, signed by both parties.

9. Program Description

The Clean Slate Clinic 12-month program consists of five phases:

(a) Phase 1: Assessment & Preparation

Two nurse consultations, one medical prescriber (either Dr or Alcohol and Drug Nurse Practitioner) appointment, care package (for alcohol detox Clients), and detox preparation over approximately two weeks.

(b) Phase 2: Withdrawal

Medically supervised home-based withdrawal (detox) with daily clinical reviews and one post-withdrawal medical prescriber consultation, which includes discussion and prescribing of craving-reduction medication (if appropriate). If medically supervised withdrawal is not required, appointments will focus on recovery planning.

Three weekly nursing reviews, access to unlimited Smart Recovery meetings and additional resources.

(d) Phase 4: Recovery & Maintenance (monthly)

Three monthly nursing reviews, access to unlimited Smart Recovery meetings and additional resources.

(e) Phase 5: Recovery & Maintenance (quarterly)

Three quarterly nursing reviews, access to unlimited Smart Recovery meetings and additional resources.

On completion of Phase 5 (12 months post detox) the client will be discharged from the Clean Slate Clinic program. Additional services can be purchased thereafter.

10. Additional Appointments

Additional services beyond those included will be charged as follows:

Appointment Type Cost

60-minute nurse appointment $150

30-minute nurse appointment $75

60-minute prescriber appointment $300

30-minute prescriber appointment $150

60-minute addiction medicine specialist $415

SMART Recovery meetings 3-month access $150

11. Liability, Governing Law & Jurisdiction

(a) This Agreement is governed by the laws of New South Wales (NSW).
(b) Disputes arising under this Agreement are subject to the exclusive jurisdiction of NSW courts.
(c) Clean Slate Clinic provides services on an ‘as is’ and ‘as available’ basis. While all reasonable efforts are made to deliver safe and effective clinical care, Clean Slate Clinic does not guarantee specific health outcomes.

(d) The Client acknowledges that telehealth services may be affected by technical failures outside Clean Slate Clinic’s control, and Clean Slate Clinic is not liable for service disruptions due to internet failures, software malfunctions, or third-party service interruptions.

(e) To the maximum extent permitted by law, Clean Slate Clinic’s liability for any claim, whether in contract, tort, or otherwise, is limited to the total amount paid by the Client for services rendered under this Agreement.

(f) Nothing in this Agreement is intended to limit the Client’s rights under the Australian Consumer Law. If any provision of this Agreement conflicts with a non-excludable right under Australian Consumer Law, the conflicting provision shall be read down to the minimum extent necessary to comply with the law.

(g) Formal notices under this Agreement must be delivered via email to the registered email address provided by the Client. Notices sent via email will be deemed received 24 hours after transmission unless a failure notification is received. The Client agrees to keep their contact details up to date and notify Clean Slate Clinic of any changes.

12. Important Client Acknowledgements and Agreement

(a). The Client acknowledges that the program represents a significant financial commitment. Before signing, the Client should consider their financial situation and seek independent advice if needed. By signing, the Client confirms they understand and agree to these terms.

(b). By signing this Agreement, the Client represents and warrants that they [are over 18 years of age}, they have the full right, power and authority to agree to and be bound by the terms of this. Agreement, and to fully perform all of their obligations under this Agreement.

(c). By signing this Agreement, the Client also acknowledges and agrees to Clean Slate Clinic’s Privacy Policy, a copy of which is attached to this Agreement as Schedule 1.

(d). The Client acknowledges that services provided under this Agreement are for their personal use only. The Client may not assign, transfer, or sublicense their rights under this Agreement or share Clean Slate Clinic’s program materials with third parties.

13. Data & Privacy

The Client acknowledges that Clean Slate Clinic may collect, store, and use personal information in accordance with its Privacy Policy (Schedule 1). The Client agrees that, in the event of a breach of this Agreement, Clean Slate Clinic may disclose relevant personal and payment information to third-party payment processors (such as Stripe) for the purpose of enforcing payment obligations, addressing disputes, and recovering outstanding amounts. Such disclosures will be limited to what is strictly necessary to validate transactions, manage chargeback claims, or resolve financial disputes. Clean Slate Clinic will take reasonable steps to ensure any third party receiving the Client’s data complies with applicable privacy laws and maintains appropriate data security standards.

14. Dispute Resolution

In the event of a dispute arising from this Agreement, the parties agree to first attempt to resolve the matter through good faith negotiations. If negotiations fail, the dispute will be submitted to mediation in accordance with the rules of the Australian Mediation Association. If mediation does not resolve the dispute, either party may pursue legal action. Legal proceedings will be conducted in New South Wales, and each party will bear its own costs unless otherwise ordered by the court.