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Reintegration House Structured Recovery · South Africa
DOC-01 Resident Admission Agreement · Confidential

Resident Admission Agreement

Binding agreement between Roots to Recovery and the incoming resident

Electronic form POPIA compliant Auto-saves every 30 seconds

This Agreement is entered into between Roots to Recovery (hereinafter referred to as "the Facility") and the Resident named below, on the date of signature below. By signing this Agreement, the Resident confirms that the contents have been read and understood, that all questions have been answered, and that the Resident enters the residence voluntarily and of free will.

1

Parties to the Agreement

This Agreement is concluded between Roots to Recovery, a structured reintegration residence operating in the Republic of South Africa, and the Resident whose particulars appear below.

Resident Particulars

2

Nature of the Facility

The Resident acknowledges and accepts that Roots to Recovery is a structured reintegration residence for adult males aged eighteen (18) years and older who are in recovery from drug and alcohol dependency.

The Resident acknowledges and accepts that the Facility is not a hospital, not a detoxification facility, not a psychiatric institution and not a registered healthcare establishment. No medical treatment, detoxification or psychiatric care is provided on the premises.

The Resident confirms that any detoxification process has already been completed prior to admission, and that the Resident is medically stable, physically able and mentally capable of participating in a structured group residence.

The Facility provides a sober, supervised and disciplined environment that supports continued recovery, personal accountability, life skills development and practical reintegration into independent life.

3

Eligibility and Admission Criteria

The Resident confirms that he is a male of eighteen (18) years of age or older. The Resident confirms that he is committed to a sober lifestyle and to active participation in the programme offered by the Facility.

The Resident confirms that he has fully and truthfully disclosed all relevant information relating to his medical history, mental health history, substance use history, criminal history, current medication, allergies and any other matter that may affect his stay, his safety, or the safety of others.

The Resident acknowledges that admission is at the sole discretion of the Facility, and that the Facility may decline admission, or terminate this Agreement, where any disclosure proves to be incomplete, misleading or untrue.

4

Programme and Services Provided

The Facility provides a structured daily programme designed to support recovery, build discipline and prepare the Resident for reintegration. The programme includes the following components, which may be adjusted, expanded or substituted from time to time at the discretion of the Facility:

  • HEAL meetings and peer recovery group sessions.
  • Narcotics Anonymous meetings hosted on the premises or attended off-site.
  • Mentorship by experienced recovery mentors.
  • Addiction counselling provided by qualified counsellors.
  • Trauma counselling for residents requiring focused therapeutic support.
  • Yoga, meditation and mindfulness sessions.
  • Structured exercise and physical training.
  • Sporting and recreational activities.
  • Employment readiness, including curriculum vitae preparation and active job seeking support.
  • Partnership referrals to non-governmental organisations and employer partners.
  • Motivational and educational speaker programmes.
  • Pharmacist-packaged medication management.
  • Access to an emergency doctor when reasonably required.
  • Access to a certified homeopath.
  • Random and routine drug testing throughout the stay.
5

Vegetarian Kitchen Policy

The Facility operates a vegetarian kitchen. All meals prepared and served on the premises are vegetarian. No meat, poultry or fish products are prepared on the premises.

No raw meat, poultry or fish may be brought onto the premises or stored in any refrigerator, freezer, pantry, room or storage area belonging to the Facility.

The Resident may consume non-vegetarian food outside the premises during permitted leave or outings. Non-vegetarian leftovers may not be brought back onto the premises.

The Resident acknowledges that this policy is non-negotiable and forms a condition of admission.

6

Visitor Policy

Visiting hours are limited to Saturdays and Sundays between 09h00 and 17h00. No visitors are permitted on weekdays or outside these hours, save with the prior written approval of the Facility Manager.

Visitors must produce identification at the gate, sign the visitor register, and submit to a search of any bag or item brought onto the premises.

During the Resident's first month of residence, no overnight leave is permitted and no overnight visitors are permitted under any circumstances.

Weekend leave, where granted after the first month, runs from Friday at 17h00 and the Resident must return to the Facility by Sunday at 17h00. The Resident may not depart for weekend leave before 17h00 on the Friday and may not return later than 20h00 on the Friday departure window without prior approval.

Only the Registered Responsible Person may sign the Resident out of the Facility. The Responsible Person may, in writing and in advance, authorise an additional named visitor to sign the Resident out for a specific period.

No visitor may bring onto the premises, or attempt to bring onto the premises, any of the following: alcohol, illegal drugs, cannabis in any form, marijuana, cannabidiol (CBD) products, tetrahydrocannabinol (THC) products, drug paraphernalia, mind-altering substances of any kind, or any medication that has not been approved by the Facility.

Any visitor who breaches the visitor policy will be removed from the premises and may be permanently refused entry. The Resident is responsible for the conduct of his visitors.

7

Responsible Person

The Resident nominates a Responsible Person who undertakes the duties recorded in the separate Responsible Party Agreement.

The Responsible Person is the person responsible for the payment of fees, for authorising leave, for signing the Resident in and out of the Facility, for receiving emergency communication on behalf of the Resident, and for authorising additional named visitors.

The Responsible Person may not be the Resident himself. The Responsible Person must be contactable by telephone at all times.

8

Search Rights

The Resident, by signing this Agreement, gives ongoing and irrevocable consent for the duration of his stay to the searching of his person, his room, his vehicle, his bags, his belongings and any property brought onto or kept on the premises.

Searches may be conducted at any reasonable time, with or without notice, by a member of staff designated by the Facility. Where reasonably practicable, searches of the Resident's person will be conducted by a male staff member and in the presence of a second staff member.

Refusal to submit to a search constitutes a serious disciplinary offence and may result in immediate termination of this Agreement.

Any item that contravenes the House Rules, any prohibited item, and any item reasonably suspected to be linked to a contravention may be confiscated. Confiscated items may be destroyed, returned to the Responsible Person, or handed to the South African Police Service, as the Facility considers appropriate.

9

Drug and Alcohol Testing

The Resident consents to random and routine drug and alcohol testing throughout his stay. Tests may be conducted at any time, with or without prior notice, and may include urine, saliva or breath analysis.

Refusal to submit to a test, whether by direct refusal, evasion, delay or failure to provide a sufficient sample, is deemed a positive result.

Any conduct intended to interfere with, dilute, substitute, contaminate or otherwise tamper with a test or a sample is deemed a positive result.

A positive result triggers the Relapse Response Procedure.

10

Smoking and Vaping Policy

Smoking and vaping are permitted only in the designated smoking areas identified to the Resident on admission.

Smoking or vaping anywhere other than the designated smoking areas, including in bedrooms, bathrooms, communal living areas, balconies, gardens or vehicles parked on the premises, attracts an immediate disciplinary penalty of R200,00 (two hundred rand) per incident, payable by the Resident or by the Responsible Person.

Repeated breaches of the smoking and vaping policy will be treated as a disciplinary matter under the House Rules and may result in further sanctions up to and including termination of this Agreement.

11

Prohibited Items

The Resident may not bring onto the premises, or keep on the premises, any of the following items:

  • Alcohol in any form.
  • Illegal drugs and controlled substances.
  • Cannabis or marijuana in any form, whether dried, processed, edible, vaped or otherwise.
  • Cannabidiol (CBD) products in any form, including oils, tinctures, capsules, gummies, creams, vapes and beverages.
  • Tetrahydrocannabinol (THC) products in any form.
  • Drug paraphernalia of any kind, including pipes, bongs, grinders, scales, rolling apparatus, syringes and any item commonly used for the consumption or preparation of drugs.
  • Weapons of any kind, including firearms, ammunition, knives (other than ordinary kitchen utensils issued by the Facility), batons, knuckle-dusters and any item intended or adapted to cause injury.
  • Pornographic material.
  • Any medication that has not been disclosed to and approved by the Facility.

Any prohibited item discovered on the premises will be confiscated and dealt with as set out in clause 8.

12

Medication Management

The Resident undertakes to disclose, in full and in writing, all medication currently being taken, all medication recently discontinued, and any allergy or sensitivity to medication. The Resident undertakes to disclose any change in medication immediately and in writing.

All chronic and prescribed medication is packaged by the Facility's appointed pharmacist into weekly compliance packs.

Medication is stored by the Facility in a locked medication cabinet. Weekly medication packs are issued to the Resident every Sunday.

The Resident is responsible for self-administering his medication in accordance with the pharmacist's instructions and the prescribing practitioner's directions.

The Facility accepts no responsibility for the Resident's compliance with his prescribed medication regime, for any missed dose, for any adverse reaction, or for any consequence arising from non-compliance.

Schedule 5 and Schedule 6 medications, where prescribed and approved, are administered under additional controls determined by the Facility in consultation with the pharmacist.

13

Fees and Payment Terms

The monthly fee payable in respect of the Resident's accommodation, meals and participation in the programme is determined by the room type allocated to the Resident, as set out in the Schedule of Fees below.

All fees are payable in advance, without deduction, set-off or demand, by electronic funds transfer into the bank account nominated by the Facility.

Where the Resident is admitted on or before the 14th day of a calendar month, the full monthly fee is payable for that month.

Where the Resident is admitted on or after the 15th day of a calendar month, a pro-rated fee is payable for the balance of that month, calculated on a daily basis (monthly fee divided by the number of days in the relevant month, multiplied by the number of days from admission to the end of the month).

From the second month onwards, fees are payable monthly in advance and must reflect in the Facility's bank account by no later than the 3rd day of each calendar month.

An emergency medical deposit in the amount of R2 000,00 (two thousand rand) is payable on admission. The emergency medical deposit is held by the Facility, is non-interest-bearing, and may be applied by the Facility to meet any urgent medical expense incurred on behalf of the Resident, including ambulance call-outs, emergency consultations and emergency medication.

The emergency medical deposit, or so much of it as remains unused, is refundable within five (5) days of the Resident leaving the Facility.

If fees are not paid in full by the due date, the Facility may suspend privileges, restrict participation in the programme, and terminate this Agreement.

No refund is payable in respect of the current month if the Resident leaves the Facility before the end of that month, regardless of the reason for departure.

Future months paid in advance are refundable, subject to any deductions for outstanding amounts, damage or penalties.

Where a Resident requests a transfer between room types during the stay, the new monthly fee applies from the first day of the calendar month following the transfer. Where a transfer takes effect mid-month, the difference is pro-rated.

Fees may be reviewed by the Facility from time to time, on no less than thirty (30) days' written notice to the Responsible Person, with the revised fee taking effect from the first day of the calendar month following the notice period.

Schedule of Fees — Room Types and Monthly Rates

Room TypeHouseDescriptionMonthly Fee (per Resident)
Single non-sharing private roomUrban House / Reception HousePrivate room with private ensuite bathroom, for exclusive use of the Resident. One (1) room of this type is available in total.R 14 000,00
2-sleeper sharingUrban House / Reception HouseShared room for two (2) Residents, with bathroom.R 11 000,00
3-sleeper sharingUrban House / Reception HouseShared room for three (3) Residents, with bathroom.R 10 000,00
DormitoryDormitory HouseShared dormitory-style room with shared bathrooms.R 8 000,00

Resident's Allocated Room and Fee

Amount Payable on Admission

ItemAmount (ZAR)
Monthly residence fee (full month, if joining on or before the 14th)
Pro-rated residence fee (if joining on or after the 15th)
Emergency medical depositR 2 000,00
Total payable on admission

Banking Details for Payment

14

Personal Property

The Resident brings personal property onto the premises at his own risk.

The Facility accepts no responsibility, and shall not be held liable, for any loss of or damage to cash, valuables, jewellery, watches, electronic devices, clothing, documents or personal items belonging to the Resident, whether such loss or damage arises from theft, negligence, accident or any other cause.

The Resident is advised not to bring items of significant monetary or sentimental value onto the premises. A secure storage facility for small valuables may be made available at the discretion of the Facility.

The Resident is liable for any damage to the property of the Facility, to the property of other residents, to the property of staff, or to the property of visitors, caused through negligence, recklessness or intentional misconduct on the part of the Resident.

15

Medical Emergencies

In the event of a medical emergency, or any situation that the Facility reasonably considers may amount to a medical emergency, the Facility may call an ambulance, contact the emergency doctor, contact the certified homeopath, or take any other reasonable action to safeguard the health and safety of the Resident.

The Facility will generally take the more cautious approach, and the Resident accepts that the Facility may err on the side of caution.

The Responsible Person will be notified of the medical emergency as soon as reasonably possible and, save where circumstances make this impracticable, within two (2) hours of the event.

The Resident, by signing this Agreement, authorises the Facility to take the actions contemplated in this clause and accepts liability for all reasonable costs associated with emergency medical treatment.

16

Duration and Termination

This Agreement commences on the date of admission and continues for an indefinite period. There is no minimum stay. The Resident may remain at the Facility for as long as he meets the conditions of residence, pays the fees timeously, complies with the House Rules, and remains committed to the programme.

The Resident may terminate this Agreement on seven (7) days' written notice to the Facility.

The Facility may terminate this Agreement, with immediate effect and without notice, in the event of:

  • a confirmed positive drug or alcohol test, refusal to test, or tampering with a test;
  • any act of violence or threatened violence against any person on the premises;
  • possession or distribution of any prohibited item on the premises;
  • any conduct that endangers the safety, recovery or wellbeing of other residents, staff or visitors;
  • any serious or repeated breach of the House Rules;
  • non-payment of fees in accordance with clause 13;
  • material misrepresentation of any fact disclosed on admission.

On termination, the Resident must vacate the premises immediately, hand back all property of the Facility, and remove all personal belongings. The Responsible Person will be notified and is responsible for the collection of the Resident and his belongings.

17

Confidentiality

The Resident undertakes to respect the confidentiality of all other residents. No information regarding the identity, history, circumstances or progress of any other resident may be shared with any person outside the Facility.

The Facility undertakes to safeguard the confidentiality of the Resident's personal information in accordance with applicable privacy and data protection requirements, save where disclosure is authorised by the Resident, required by law, or reasonably necessary to protect life or safety.

18

Indemnity and Limitation of Liability

The Resident, by signing this Agreement, indemnifies and holds harmless the Facility, its owners, directors, managers, employees, contractors and agents against any and all claims, demands, losses, damages and expenses arising from or in connection with the Resident's stay, save to the extent that such claim arises from the gross negligence or wilful misconduct of the Facility.

The Facility's liability, in any event, is limited to the total fees paid by the Resident in the three (3) months preceding the event giving rise to the claim.

19

Variation

The Facility may, from time to time, amend the House Rules, the daily programme, the fee structure and the operational policies of the Facility. Material changes will be communicated to the Resident and to the Responsible Person in writing, and will take effect on the date specified in the notice.

No variation of this Agreement is binding unless reduced to writing and signed by both parties.

20

Governing Law

This Agreement is governed by the laws of the Republic of South Africa.

21

Whole Agreement

This Agreement, together with the Resident Handbook, the House Rules, the Drug Testing and Relapse Protocol, the Responsible Party Agreement, the Emergency Medical Authorisation, the Communication and POPIA Consent, and any schedules attached, constitutes the whole agreement between the parties.

The Resident confirms that no representation, warranty or undertaking has been made by or on behalf of the Facility other than those recorded in this Agreement and the documents referred to above.

RESIDENT DECLARATION

I, the undersigned Resident, declare that:

  • I have read this Agreement in full or have had it read and explained to me in a language I understand.
  • I understand the contents of this Agreement and accept all of its terms.
  • I enter into this Agreement freely, voluntarily and without coercion.
  • All information I have provided to the Facility on admission is true, complete and accurate.
  • I commit to participating actively in the programme, to maintaining sobriety, to complying with the House Rules, and to treating staff, other residents and visitors with respect.
  • I understand that breach of this Agreement may result in disciplinary action up to and including termination.

ACCEPTANCE BY THE FACILITY

The Facility accepts the Resident's admission on the terms set out in this Agreement.

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