Terms of Service

Client Services Agreement · A Little More Room LLC · Sophy Citriniti, PhD, DipACLM

This Client Services Agreement (this "Agreement") is between A Little More Room LLC, a Pennsylvania limited liability company ("the Practice"), and the individual identified in the signature block below ("Client," "you," or "your"). It takes effect when you sign it electronically (the "Effective Date").

The Practice is owned and run solely by Sophy Citriniti. This Agreement is written in her voice, so "I" and "my" refer to the Practice acting through her.

Before signing this Agreement or making a payment, you must review and sign the Informed Consent and Scope of Practice Acknowledgment. That document explains the service, its scope and professional boundaries, safety requirements, risks, and your choices as a client. This Agreement explains the business and commercial terms for the services you purchase. Use these documents together with the Virtual Services Consent and Technology Acknowledgment.

1. What You Are Getting

1.1 Services covered by this Agreement

You are purchasing individualized, evidence-based chronic-condition self-management support delivered virtually in one-to-one appointments for adults living with chronic health conditions. Package Details below list the available packages, including the appointments and minutes included in each. Your selected package and price are confirmed at checkout.

Package Details

Prices below are in U.S. dollars. The package you select and the price shown at checkout apply to your purchase.

All packages also include the intake questionnaire and any required screening materials. Introductory launch pricing applies to enrollments through December 31, 2026.

Any package can be paused within the limits in Section 7.2, and you can ask about changing to a different package length (Section 4.6).

1.2 What the Informed Consent and Scope of Practice Acknowledgment controls

For details about what I may provide, what I do not provide, screening and safety requirements, and when another healthcare provider, professional, service, program, or resource may be appropriate, see the Informed Consent and Scope of Practice Acknowledgment.

1.3 Changes to services

I may develop or adjust my services over time. If I add a service that is materially different or carries additional risks, I will describe it in writing and obtain any additional agreement, consent, screening, clearance, or safety steps required before providing it.

2. Who This Service Is For

To enroll, you need to:

• Be 18 years of age or older;
• Be physically located in one of the 50 states or the District of Columbia at the time of each appointment;
• Review and sign the Informed Consent and Scope of Practice Acknowledgment before signing this Agreement, and complete the intake questionnaire and Physical Activity and Exercise screening before your first appointment;
• Be someone for whom I can provide the requested services safely and within my scope, based on the information available to me.

I review your completed intake questionnaire and Physical Activity and Exercise screening before your first appointment. If they indicate that a requested area of support cannot be provided safely and within my scope, I will contact you before the appointment. If no area of support remains within my scope, I will cancel the services, refund the package payment in full, and, where reasonably possible, point you toward an appropriate professional, service, program, or resource. Add-ons are handled under Section 4.4. If only a specific need falls outside my scope, that does not automatically prevent us from working together on other areas within my scope.

3. Where Services Are Provided

The core service is provided virtually to adults who are physically located in one of the 50 states or the District of Columbia at the time of the appointment. This Agreement covers chronic-condition self-management support. Individualized exercise-program design is a separate service governed by its own agreement and informed consent, if offered.

If you will not be physically located in one of the 50 states or the District of Columbia at the time of an appointment, tell me before the appointment. I do not currently offer the core service to clients located outside those jurisdictions.

4. What It Costs and When You Pay

4.1 Packages

Services are sold as packages, not individual sessions. Package Details lists the package you selected, its price, and the appointments it includes. Your selection is confirmed at checkout.

Each package includes the listed appointments, the intake questionnaire, and any required screening materials. The Informed Consent and Scope of Practice Acknowledgment explains how questionnaires and screening are used. Packages do not include unlimited messaging, extensive written guidance, or appointments beyond those listed in Package Details. Section 6 describes communication between appointments.

If you would like a custom service that is different from the services currently available, we can discuss whether I can provide it and, if so, agree in writing on its scope, price, and applicable terms before it begins.

4.2 When payment is due

You may pay in full or, where I offer it at checkout, in installments. Payment in full, or the required first payment or deposit, is due when you enroll, before your first appointment. The total price and payment schedule are shown at checkout. If the Agreement ends before all installments have been paid, Section 9 determines any refund or remaining balance based on the services delivered or treated as used. Services begin after payment has cleared and you have completed the intake questionnaire and Physical Activity and Exercise screening.

If an installment payment fails, you will have 7 calendar days to update your payment method. If the payment is still outstanding after 7 calendar days, scheduling of new appointments is paused until your account is current.

Payments are processed through Practice Better Payments, powered by Stripe. I do not store your full payment card information. Payment processing is also subject to the applicable Practice Better and Stripe terms.

4.3 Introductory pricing at launch

Each package is offered at an introductory price at launch. The price shown at checkout when you enroll applies to the entire package and will not change if package prices change later. Any additional package, Monthly Maintenance Membership, or add-on is purchased separately at the price shown at checkout, except as described in Section 4.6.

4.4 Membership, Add-ons, and Courses

Monthly Maintenance Membership. After you complete a package, you may continue with the Monthly Maintenance Membership. You may join any time after your last included package appointment, including during the grace period or later. The membership is designed for keeping an approach going: a monthly check-in to review what is working and adjust as your health and circumstances change. It includes one 30-minute appointment each month and occasional check-ins by portal message or a brief questionnaire sent through the client portal, as described in Section 6. The price is shown at checkout. It is separate from a package.

If you do not use your monthly appointment, it carries over to the following month only. Unused appointments do not carry over beyond that, and they end if the membership is canceled.

The membership is month-to-month, and you may cancel at any time. Cancellation takes effect at the end of your current billing month. You can still use that month's appointment until then, and the current month is not refunded. The pause provisions in Section 7.2 do not apply to the membership.

Add-ons. Add-ons provide additional work beyond what is included in a package. They are not offered as standalone services and do not extend the package term unless the checkout terms state otherwise. The two add-ons currently offered are:

• Personalized Self-Management Plan. The package includes identifying and refining a few high-impact priorities and actions, along with relevant recommendations, resources, implementation support, and ongoing adjustment through your appointments. This add-on is a separate, comprehensive written reference that organizes and expands that work for day-to-day use. Depending on your needs, it can bring together your priorities, what may be useful to monitor or track, practical strategies, problem-solving steps, plans for difficult stretches or changes in symptoms, energy, or circumstances, and ways to review progress and adapt over time. Creating it involves dedicated synthesis and writing in addition to the personalized work provided during appointments.
• Support-Person Session. A private virtual session with a partner, family member, friend, or caregiver whom you authorize me to involve. The session focuses on how that person can support the day-to-day self-management work you are doing. You decide what information I may discuss, and the support person does not become my client. The session may be held with you, with the support person alone, or with both of you, as specified at checkout. The session includes a concise written support plan.

The price, format, length, deliverables, and scheduling terms for each add-on will be stated at checkout. Because add-ons involve work created or time reserved specifically for you, they are nonrefundable once purchased, except if I am unable to provide the add-on.

Courses. Courses are separate educational offerings. They may be available free of charge or for a fee and may include general education and reusable materials. They are not individualized services and do not include individualized feedback unless the course description states otherwise. Information about each course, including its price, format, and included materials, will be provided when it becomes available. Courses are separate from packages and add-ons unless the checkout terms state otherwise.

4.5 Taxes, Health Accounts, and Insurance

Prices exclude any applicable taxes, which you are responsible for.

Practice Better can process payments made with HSA or FSA cards. Whether you may use HSA/FSA funds to pay for this service, and whether the expense is eligible for reimbursement, depends on the rules that apply to your specific HSA or FSA, applicable tax requirements, and any documentation your administrator requires. I do not determine or guarantee eligibility. Please confirm eligibility with your HSA/FSA administrator. I can provide a receipt or superbill, but that does not guarantee reimbursement.

I do not bill health insurance or submit claims to private insurers, Medicare, or Medicaid, and I am not enrolled as a participating provider with those plans or programs. If I provide a receipt or superbill, it documents your payment but does not guarantee reimbursement. You are responsible for confirming whether your plan will reimburse any amount you pay.

4.6 Changing Package Length

If you would like to change to a different package length, let me know. Where possible, I will credit what you have paid toward the new package. If you enrolled at an introductory price, the introductory price applies to the new package. Ending a package early is handled under Section 9.

5. Scheduling and Appointments

5.1 Scheduling

Schedule appointments through the Practice Better client portal. You are responsible for scheduling your included appointments during your package term or the 14-calendar-day grace period described in Section 7. If you request an appointment during that period and I do not have availability before the period ends, the appointment will not expire because of my availability, as described in Section 7. Appointment times are subject to availability, and I cannot guarantee a particular day or time.

5.2 If You Need to Move an Appointment

If you give at least 24 hours' notice, you may cancel or reschedule an appointment through the client portal, and it will not count as used. If you give less than 24 hours' notice or miss the appointment, it counts as used and is not rescheduled or refunded, except as described in Section 5.3.

5.3 If Symptoms or Health Circumstances Affect an Appointment

If symptoms, an unexpected medical appointment, or another health-related disruption affects your ability to attend with less than 24 hours' notice, tell me as soon as you reasonably can. I will allow you to reschedule up to two such appointments for a 3-month package, three for a 6-month package, and four for a 12-month package, including appointments scheduled during the grace period. Those appointments will not count as used, and no documentation is required.

5.4 If I Need to Move an Appointment

If I need to reschedule, I will offer the next reasonably available alternative at no charge. The appointment will not count as used and will not expire because of my availability. If I cannot provide the appointment or a reasonable alternative within 30 calendar days of the original scheduled date, you may request a refund under Section 9 for the included appointment minutes that were not delivered.

5.5 If You Arrive Late

Appointments begin and end at their scheduled times. If you join late, the appointment still ends at its scheduled end time. If you have not joined within 15 minutes of the scheduled start time and have not contacted me by then, the appointment is treated as missed under Section 5.2.

6. Communication Between Appointments

Between appointments, you may use secure messaging in the client portal to ask questions, share updates, or respond to a check-in from me. I may also use messaging, or send a brief questionnaire through the client portal, to check in with you about how things are going. Messaging is intended for brief exchanges. If a question or update requires a more in-depth discussion, detailed review, or individualized guidance, I will let you know and we can address it during an appointment.

I aim to respond within two business days. Business days are Monday through Friday, excluding federal holidays. Messages received after 5:00 PM Eastern Time are treated as received on the next business day.

Use the Practice Better client portal instead of ordinary email or text for sensitive health information. Ordinary email and text messaging are not secure channels for sensitive health information, and I cannot guarantee confidentiality if you use them. If you send health information through an unsecured channel, I will move the conversation to the portal.

Messaging support is available during your package term and grace period, and during an active Monthly Maintenance Membership. During a pause (Section 7.2), I may reply to brief logistical messages about the pause or your return, but individualized support is not available until your package resumes.

After your package ends, messaging support ends unless you have an active membership. Your client portal account remains active so you can continue to view materials I have shared with you, and I will let you know before deactivating it. Requests for copies of your records are handled as described in Section 12.

7. How Long You Have to Use Your Appointments

7.1 Package Term and Grace Period

Your package term begins on the date of your first appointment, as long as you schedule that appointment within 30 calendar days of purchase. If you have not scheduled your first appointment by then, the package term begins on the 31st day after purchase. If my availability prevents you from scheduling your first appointment during that period, the package term begins on the date of the first appointment I can offer, and you will not lose time because of my availability.

The package lasts for the number of months shown in Package Details. You may schedule and complete the included appointments during the package term or during the 14-calendar-day grace period that follows.

If you request an appointment during the package term or grace period and I do not have availability, I will extend the time available to use your appointments as needed to provide it. Included appointments expire without refund only if you have not scheduled them by the end of the grace period for reasons unrelated to my availability.

I may extend the package term if an extended illness, hospitalization, bereavement, or comparable circumstance prevents you from using your appointments. Let me know as soon as reasonably possible if you need an extension.

7.2 Pausing Your Package

You may pause your package for any reason, and you do not need to explain why. Request a pause through the client portal before it begins and tell me the date you plan to resume.

• Total pause time: up to 30 calendar days for a 3-month package, 60 for a 6-month package, and 90 for a 12-month package.
• Number of pauses: up to two per package, each at least 14 calendar days.
• Timing: a pause must begin during the package term, not during the grace period.

During a pause, appointments are not scheduled. Messaging during a pause is described in Section 6.

Appointments already scheduled during the pause are rescheduled without counting as used, as long as you request the pause at least 24 hours before them. If you request a pause less than 24 hours before a scheduled appointment, that appointment is handled under Section 5.

Your package term and grace period are extended by the length of the pause. If you are paying in installments, I will adjust your payment schedule so that no payment is due during the pause. Your package resumes automatically on the date you gave me. A pause does not change your health-related rescheduling allowance under Section 5.3.

8. Ending the Agreement

8.1 Cancelling Soon After Signing

You may cancel this Agreement for any reason within three business days after signing and receive a refund of all amounts you have paid toward the package, as long as no appointment has occurred. If you are using an installment option, any unpaid future installments will not be charged. Add-ons are subject to Section 4.4. Send written notice through the client portal or by replying to the email address in your client portal profile.

This three-business-day cancellation right is provided under this Agreement. You also retain any cancellation, cooling-off, or other consumer rights that apply under applicable law.

8.2 Ending the Agreement After Services Begin

You may end this Agreement at any time by written notice through the client portal or by replying to the email address in your client portal profile. It takes effect when I receive your notice. Section 9 explains how any refund is calculated.

8.3 When I May End the Agreement

I may pause or end this Agreement by written notice if:

• No area of support remains within my scope, or your remaining needs require services I do not provide
• I cannot continue providing the requested support safely and appropriately within my scope
• You provide materially inaccurate information or do not provide information needed to determine whether the requested support can be provided safely and within my scope
• You do not pay amounts owed within the 7-calendar-day period described in Section 4.2, or a payment is reversed or charged back
• You do not schedule or attend appointments for 90 consecutive days, not counting any pause under Section 7.2 or extension under Section 7.1, despite reasonable outreach and reasonable appointment availability
• You behave in a way that is abusive, harassing, discriminatory, or threatening toward me

If I pause the Agreement, I will tell you what information or outside professional input is needed before we can continue.

If I end our work because no area of support remains within my scope or because I cannot continue providing the requested support safely and appropriately, I will, where reasonably possible, identify an appropriate professional, service, program, or resource. Unless the Agreement ends because of nonpayment, a reversed payment or chargeback, materially inaccurate or missing information needed to determine whether I can provide the requested support safely and within my scope, or abusive, harassing, discriminatory, or threatening conduct, I will issue any refund due under Section 9. If I refer you to another professional for a specific need while other areas remain within my scope, that referral does not automatically end our work together.

9. Refunds If You End the Agreement Early

When this Agreement ends early, I calculate any refund or remaining balance based on the included appointment minutes that were delivered or treated as used, unless Section 2, Section 8, or applicable law provides a different result.

The value of services used is calculated as follows:

Value of services used = package price × (used included appointment minutes ÷ total included appointment minutes in package)

For this calculation, “package price” means the price for your selected package shown at checkout, including any applicable introductory price. “Used included appointment minutes” means the minutes for appointments that were delivered or treated as used under Section 5.2.

If the amount you have paid toward the package is greater than the value of services used, I will refund the difference. If the amount you have paid is less than the value of services used, you remain responsible for the difference under Section 4.2 and the payment terms shown at checkout.

Example: If the package price shown at checkout is $620 and it includes 240 minutes, a delivered 60-minute appointment represents $155 of services used. If you have paid $100, $55 remains due. If you have paid $200, I will refund $45.

Appointments treated as used under Section 5.2, including late-cancelled or missed appointments, count at their scheduled length. Appointments rescheduled under Section 5.3 are not treated as used.

Appointments that expire under Section 7 are not refundable. If they were not delivered or treated as used, they do not create an additional balance due.

Add-ons are separate purchases and are not included in the package refund calculation. Their refund terms are described in Section 4.4. Refunds are issued to the original payment method within 30 days after termination takes effect.

10. Your Role in Our Work Together

To support our work together, you agree to:

• Provide, to the best of your knowledge, accurate information relevant to the services you are requesting, including health conditions, symptoms, medications, supplements, treatments, and circumstances, and let me know when relevant information changes.
• Leave diagnosis, treatment, and medical decisions to the healthcare providers responsible for your care.
• Not start, stop, or change any medication, supplement, treatment, or medically directed plan based on our work without first consulting the healthcare provider responsible for that treatment or prescription.
• Follow up with the appropriate healthcare provider if the Physical Activity and Exercise screening indicates that additional advice or clearance is needed before beginning the affected activity.
• Let me know about changes in your health, medications, or healthcare-provider instructions that may affect the services or your safety, including an injury or adverse event you think may relate to something we discussed. This helps me adjust what we are working on. I do not monitor your health between appointments.
• Use the Practice Better client portal for personal health information rather than ordinary email or text.
• Make reasonable efforts to attend appointments from a private location with a reliable internet connection.
• Take part in the process. Decide what you want to try, try what we agree on when you are able, and tell me what helped, what did not, and what made the plan harder to put into practice. We use that information to adjust the approach together. You are not expected to succeed at everything you try; changes in your symptoms, capacity, or circumstances are not failures, but information we use to adapt.
• Make your own decisions about your health and remain responsible for the choices you make and the actions you take.

11. No Guarantee of Results

I make no promise, guarantee, or warranty of a specific outcome. Health outcomes depend on factors outside my knowledge or control, including your medical conditions, treatment, genetics, circumstances, resources, and choices. Nothing I say promises that you will improve a symptom, measurement, condition, behavior, or other aspect of your health, or avoid an adverse outcome.

Any example, illustration, or description of a client’s experience is illustrative only and is not a representation of what you will experience.

12. Your Privacy

I treat information you share as confidential and handle it under my Privacy Policy, which is part of this Agreement by reference. The Informed Consent and Scope of Practice Acknowledgment describes when I may or must disclose information without your authorization.

I will not communicate with your healthcare providers, family members, or anyone else about you without your written authorization, except as described in the Informed Consent and Scope of Practice Acknowledgment.

13. The Materials I Give You

Materials I create and provide—including written plans, worksheets, summaries, courses, and frameworks—are my intellectual property. Third-party materials, tools, guidelines, and resources remain subject to the rights of their respective owners. You receive a limited, personal, non-exclusive, non-transferable license to use materials I create for your own personal, non-commercial use.

You may not reproduce, publish, sell, or distribute my materials commercially or to the public, or use copies of them to create or deliver another service, without my prior written consent. This does not restrict your use of knowledge or skills you gain through the services.

You retain ownership of the information you provide about yourself.

14. Using Your Story, Your Words, or Your Image

I will not use your name, likeness, story, or feedback for marketing, promotional, or educational purposes without your separate written consent. Consent is entirely voluntary, is not a condition of receiving services, may be withdrawn at any time as to future use, and does not affect the services you receive.

Appointments are not recorded unless we both agree in writing in advance. See the Virtual Services Consent and Technology Acknowledgment for details.

I may use de-identified, aggregated information about my services to evaluate and improve them. De-identified information does not include your name or anything that reasonably identifies you.

15. Risks and Limits of Responsibility

You are responsible for your own health decisions and actions. These services are educational and supportive, not a substitute for care from a licensed healthcare provider. Changes to physical activity, eating patterns, or sleep may carry risk, particularly if you live with a chronic condition. The Informed Consent and Scope of Practice Acknowledgment describes the relevant risks, including physical-activity risks, and your choices about them.

To the extent permitted by law:

• The most I can be held liable for in total is the amount you paid me under this Agreement;
• I am not responsible for indirect losses, such as lost income, lost profits, or lost data, even if I told you they were possible; and
• These limits do not apply where the law does not allow them to, including for gross negligence, deliberate misconduct, or fraud.

Some jurisdictions do not allow all exclusions or limits of liability. Where that is the case, the limits above apply only to the extent permitted in your jurisdiction.

16. Disagreements

16.1 Before either of us starts a formal court proceeding, we agree to try to resolve the issue through written communication and discussion for at least 30 days, unless a legal deadline or applicable law requires earlier action.

16.2 Which law applies. Pennsylvania law governs this Agreement. If the consumer-protection law of the jurisdiction where you are located gives you more rights, that law applies to the extent required.

16.3 Your other rights. Nothing in this Section limits your right to file a claim in an appropriate court, including small claims court, or to report a concern to a government agency or regulator.

17. Other Terms

The terms below explain how this Agreement works.