Specifications include, but are not limited to: Contractor must provide health coaching/nutrition education services in each of the following formats and to the following specifications: Restricted Clinic-Based Health Coaching/Nutrition Education Group Medical Visit (GMV) staffed with a medical provider and medical assistant, and: can be in-person or virtual; are restricted to serving only patients at a single clinic or multiple clinics within the same health system, can be held either in-person or virtually, as determined by R4H; are held weekly for a minimum of 48 weeks per year, for approximately 90-150 minutes per session, with exceptions made for holidays as agreed upon by County and Contractor, and in extraordinary circumstances; allows each enrolled patient to attend at least 12 sessions; include small groups with an assigned health coach/nutrition educator to create an avenue for social support for participants; includes time for each participant to meet briefly with the clinic medical provider(s) and ensure a smooth participant flow in and out of group to see the medical provider, when applicable; allows a minimum of 10 participants per week, per group (if group is held in-person, number of participants will be based on space constraints of the clinic, referral patterns, and the feasible size of the group); can be held at minimum in English and Spanish languages (as decided in partnership with R4H; other language groups may be needed depending on patient population). For in-person GMVs, contractor shall work directly with the participating clinic(s) to: identify a process and space for unloading/loading supplies and equipment at the clinic site as appropriate and necessary; identify and reserve space(s) at the site for the GMV, including any necessary needs regarding space for registration; identify an area for storage of equipment at the clinic site, if necessary, and develop a process to secure any equipment and supplies on-site; ensure the room/space is returned to pre-group condition and maintain open communication with the clinic about room/space care and maintenance; comply with any specific clinic policies and procedures (e.g. HIPAA training, vaccines, etc). maintain all equipment to meet requirements of applicable health codes. For in-person GMVs, Contractor shall provide: a healthy snack or meal for the participants at each session to highlight nutrition education and connection to produce received by participants when possible, as appropriate given COVID precautions in place at the time; equipment and materials necessary for the provision of services.