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Thank you for choosing Onlinepills Pharmacy. In order to save some 30%-50%
on your prescription medications please read and agree to the following
waiver.
WAIVER
I hereby release
Onlinepills.com, and Point Douglas Pharmacy including all of it's employees
and contractors including physicians, pharmacists, pharmacy technicians,
nurses, and receptionists from any and all liability whatsoever associated
or connected to my medical consultation and/or the use of any or all the
medications prescribed to me and any adverse effects I may suffer from
these medications. I hereby state that I am at least eighteen years
old and am fully competent to make my own health care decisions. I am
aware of the potential side effects and or problems associated with prescription
medications. I understand that it would be a violation of the law to falsify
information on my medical questionnaire for the purpose of obtaining prescription
medication. I agree to truthfully and to the best of my knowledge answer
all of the questions on my medical questionnaire.
I understand and acknowledge that medical diagnoses, treatments, and opinions
differ among the very best, well-trained, and respected physicians, that
there is no, nor can there be, any implied warranty to we, that treatments
may benefit one patient and not another, that these opinions may differ
from time to time depending upon many factors such as medical research,
conventions, literature, or other physicians, etc. I understand the risks.
Any and all questions that I have about my prescription medications and
their attendant risks have been answered to my satisfaction. I understand
that all of the possible risks and or complications that may occur that
have never been recorded before.
I also fully understand and agree that if I fail in any way to furnish
my complete and accurate medical history, or I become aware of any changes
in my physical or medical condition in the future and I fail to notify
of such changes, then I agree that I am solely responsible for any adverse
affects I may suffer from taking or continuing to take these prescribed
medications or from participating in this prescription service. I also
state that I have had a physical examination by the physician whose care
I am under within the last twelve months.
By signing each of these pages of this waiver, or by clicking "I AGREE"
if being submitted electronically, I agree to release liability and hold
blameless the physicians, affiliates, directors, officers, employees,
representatives, and independent contractors from all causes of action,
suits, penalties, liens, judgements, liabilities, obligations, losses,
actual or consequential damages, actual or threatened claims which may
arise at any time by reason of relating to, arising directly or indirectly
out of any matter whatsoever related to the prescribing or dispensing
of my prescription medications.
I understand that it is my responsibility to have regular physical examinations
by the U.S. licensed physician whose care I am under including all suggested
testing by said physician to ensure I have no medical problems which would
constitute a contradiction to me taking the medications being prescribed
for me.
I also agree that should I suffer any adverse effects while taking these
prescribed medications that I will immediately contact the U.S. licensed
physician whose care I am under. Should I come under the care of another
physician, I will inform him or her of any and all medications I am taking
which have been prescribed.
I hereby give permission to perform a medical consultation on me for the
purpose of determining if the medications I am currently prescribed by
my US licensed physician whose care I am under. I understand that this
will include reviewing my medical questionnaire and information submitted
by my physician. If necessary, we may contact you or your physician for
more information. I hereby give permission to my physician to release
my medical files and medical reports as needed to obtain sufficient information
for the purpose of prescribing my medications.
I understand that any information provided may be seen by the corporations'
employees and that this information will constitute a medical record.
I acknowledge and agree that I initiated this contract with Onlinepills.com,
Point Douglas Pharmacy, and that it is not located in the United States.
I acknowledge that the physicians and pharmacists working for Onlinepills.com,
and Point Douglas Pharmacy are located and licensed to practice medicine
or pharmacy in Canada and that all treatment I am receiving from the said
physician and pharmacists is being received in Canada.
I understand and acknowledge that we recommend regular physical examinations
and doctor's office visits with my U.S. licensed physician whose care
I am under who first prescribed my medications. I further understand that
we will only verify and prescribe medications that my U.S. licensed physician
whose care I am under has already prescribed me. We will prescribe no
new prescription medications. I also understand that no controlled medications,
narcotics, tranquilizers, or other medications the physician decides is
inappropriate. I understand that this consultation will not include a
physical examination and that I should obtain a timely follow up consultation
with the U.S. licensed physician whose care I am under. I hereby waive
a physical examination at this time.
I understand that this service should not be considered a substitute for
a healthcare provider. I understand that this service is not in any way
intended for the diagnosis of a medical condition. I understand that we
will not make any medical diagnoses and should not be used as a substitute
for professional medical advice. I will direct all questions to my own
health care provider. I will consult my own physician before taking any
new drug or changing my daily health regimen. I understand that any opinions,
advice, statements, services, offers, or other information expressed or
made available by third parties (including merchants and licensors) are
those of the respective authors or distributors of such content.
Onlinepills.com, and/or Point Douglas Pharmacy reserves the right to change
this disclaimer and the medical consultation form at any time, including
the price of consultations. You should read this disclaimer every time
you place a new order.
This agreement represents the complete and entire agreement between Onlinepills.com,
Point Douglas Pharmacy, and me. I have read and understood the above-referenced
"Patient Disclaimer" authorize and accept the proposed terms of care regardless
of the medical involved. I declare that I understand.

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