Membership Additional Terms And Conditions

Your Membership Plan includes only the services and discounts listed above, for the period described for the Plan term as noted on this form, subject to renewals.  This Plan does not include any services not already listed, any services provided by anyone other than the Provider, nor services recommended as a result of treatment results, illness or accidental injury.  Any fees for other such services will be determined between both parties in accordance with the Providers fee schedule in effect at the time service is requested, and must be paid directly to the Provider at the time in which services are rendered. 

1. No Insurance: This agreement is not a contract for insurance or share program. Subscribers must pay for all services included in the plan, but will receive a discount from the provider as listed above.

2. Assignment: This agreement is not transferable or assignable and applies only to the subscriber designated above, while owned by subscriber.  Subscriber may only obtain care under this agreement at Columbia Shores Regenerative Health, LLC.

3. Cancellation: Either Provider or Subscriber may cancel this agreement at any time.  If Subscriber cancels for any reason (including, but not limited to death), whether before or after Provider has rendered services, Provider shall be entitled to retain the entire membership fee.  Provider shall also be entitled to retain or recover from Subscriber all monthly installments which have become due, including the installment for the month in which the cancellation occurs. If the total amount of services rendered by Provider prior to cancellation (valued at Provider’s full retail fee schedule pricing), exceed the sum of monthly installments retained or recovered by Provider, Subscriber shall be obligated to do one of the following, as selected by the Subscriber: A. Immediately pay for services in excess of the payments received; B. Immediately pay in full the remaining monthly installments for the remainder of the Plan term year in effect; or C. Continue making all of the remaining installments for the term then in effect as such installments come due.  If Subscriber performs all his or her obligations and Provider cancels the agreement, all monthly or annual fees Subscriber has paid for term will be refunded in full, less Provider’s full retail charges for any services rendered before cancellation. In no other cases will any amount paid by Subscriber be refunded upon cancellation.  

4. Terms and Renewal: This agreement will be effective for one year commencing on the Plan Start Date above.  This agreement will automatically renew for subsequent one-year periods unless terminated at least 30 days prior to and as of the end of any term year by written notice to the other party.  Upon renewal, the membership origination fee will be collected, along with the monthly fee, not rolling over money year to year. You will receive an email reminder 60 days prior to one year of membership to use the amount accrued, if not used it is not redeemable able one year.

5. Adjustments: Adjustments to plan fees may be made at the end of the contract, depending on Provider costs.  If an increase is required the Provider will notify the Subscriber prior to the increase in order to allow the Subscriber to withdraw from the Plan. 

6. Payment: Plan Installment payments can either be billed directly to your credit card or deducted from most bank accounts.  An overdraft and reprocessing fee of $35.00 will be billed to Subscriber on returned/dishonored checks/charges. Subscriber is responsible for notifying Columbia Shores Regenerative Health, LLC of any change in account setups for billing.  In the event Subscriber fails to pay any installment within 30 days of its due date, Provider may immediately terminate this agreement and declare all fees and remaining monthly installments for the current term year to be due immediately due and payable.  If Provider permits Subscriber to restart the program after termination under this section, a new application and membership fee will be required unless special arrangements are made and agreed in advance.

7. Collection: In the event that cancellation of this agreement for any reason results in monies due to either Subscriber or Provider, such monies shall be paid in full within 30 days of cancellation.  If either party fails to make any payment when due under this agreement, that party shall pay the other party’s collection costs, whether or not a legal action is commenced. In the event of any legal proceeding (including appeals), the prevailing party shall be entitled to recover its costs, disbursements, and reasonable attorney’s fees as determined by the court. 

8. Authorization: Subscriber authorizes the Provider to bill and receive payment for any fees associated with the Plan.  Subscriber will provide a credit or debit card to Columbia Shores Regenerative Health, LLC and authorize Columbia Shores Regenerative Health, LLC to use such designated credit or debit cards to bill automatically monthly or to be used when payments are past due. 

9. Complaint Procedure: Any complaints regarding Plan or Plan membership should be directed in writing to Columbia Shores Regenerative Health, LLC, 132 Keene, suite 201, Richland, WA 99352.

Subscriber Acknowledgements

1. Assignment Delegation: Membership in the Plan and/or Subscriber’s rights or duties under this agreement may not be assigned or delegated without the express written consent of Columbia Shores Regenerative Health, LLC.  Subscriber’s violation of this paragraph may, at the discretion of Columbia Shores Regenerative Health, LLC, result in immediate termination of the Plan Membership. The Plan is not insurance and may not reduce deductibles, co-payments, or other out-of-the pocket expenses for health services covered by insurance.  

2. Discount: Columbia Shores Regenerative Health, LLC has agreed to make certain services and supplies available to Subscribers on a Reduced Fee Service basis.  The term “Reduced Fee Service: means a service that is available to a Subscriber at a discount from fees normally charged by the provider and for which Subscriber is solely financially responsible.  Subscriber understands that all payments to the provider are due and payable at the time of the service, unless another payment arrangement is mutually agreed upon between Subscriber and Provider. Subscribers may be subject to Provider’s late payment and other office or billing policies.  

3. Disclaimer of Warranties: This agreement does not give any warranty, express or implied, as to the description, quality, merchantability, fitness for any particular purpose, productiveness, or any other matter, for any services or through his/her membership in this plan.