Primary care, or ongoing medical care, is not provided by Tiger Performance Institute or Tiger Medical Institute unless specifically stated in a patient agreement for a Washington State resident.
HIPAA Release (Only applicable for coaching programs, not online courses)
I. My Authorization
I authorize Tiger Medical Institute, Washingon, PLLC and its affiliates (“Tiger”, “Company,” “we,” or “us”) and its staff to use or disclose my health information as necessary for such personality, neuropsychological and capacity tests, assessments, and treatments as are customary and appropriate for Tiger’s program (including, but not limited to heart rate variability, hormone testing, blood work, and neurofeedback).
The purpose of this authorization is to authorize Tiger to use this health information for services provided to and related to me. This authorization ends either with written termination by you or at the end of services provided by Tiger.
II. My Rights
I understand that this consent and authorization is voluntary, that I may refuse to accept it, and that I may revoke it at any time by submitting in writing to Tiger.
I understand that uses and disclosures already made based upon my original permission cannot be taken back. I understand that it is possible that information used or disclosed with my permission may be re-disclosed by the recipient and is no longer protected by the HIPAA Privacy Standards.
Recurring Payment Authorization
Client authorizes Tiger to charge their bank account and/or credit card for the agreed upon Program prices with one-time and monthly payments of Tiger’s program.
Client understands that this authorization will remain in effect until they cancel it in writing, and Client agrees to notify the Company of any changes in their account information or termination of this authorization at least 5 business days prior to the next billing date. If the above noted payment dates fall on a weekend or holiday, Client understand that the payments may be executed on the next business day. For debits to their checking/savings account, Client understand that because these are electronic transactions, these funds may be withdrawn from their account as soon as the above noted periodic transaction dates. In the case of a transaction being rejected for Non Sufficient Funds (NSF), Client understand that the Company may, at its discretion, attempt to process the charge again within 30 days, and Client agrees that an additional late fee may apply. Client acknowledges that the origination of transactions to their account must comply with the provisions of U.S. law. Client certifies that they are an authorized user of the credit card/bank account and will not dispute these scheduled transactions with their bank or credit card company; so long as the transactions correspond to the Terms.
Guarantee of Performance
Tiger has a guarantee of performance, not a refund policy. No refunds will be issued under any circumstances, except that Tiger holds the right to give a 50% refund to be issued at completion of one year if: a client: (1) completes all physician calls, (2) attends coaching calls 2x per month, (3) completes all testing, and (4) makes best efforts at implementing their suggested habit and lifestyle changes; and Tiger cannot demonstrate any objective improvement.
Client has the ability to get refunded for online courses within 11 days of purchase by emailing firstname.lastname@example.org.