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INFORMED
CONSENT and POLICIES
I accept, understand, and agree to the following:
I
am freely of my own will seeking medical
consultation via the Internet and I am aware that
the Consulting Physician reviewing my information
may not conduct a personalized in-person physical
examination. I consider the consultation by way of
the internet to be an appropriate and adequate
means of evaluating my condition. A licensed U.S.
Physician will review my medical information. I
will not make a claim that the Consulting
Physician acted unprofessionally, improperly, or
below the standard of care solely because the
physician did not personally perform a physical
examination on me;
I
understand that my medical evaluations,
recommendations, diagnoses, and treatments will be
reviewed by a physician who is licensed in the
U.S. I acknowledge and agree that I, under no
duress, initiated contact with MedzOnline.com. I am
aware that my prescribing physician may be located
in another state other than my own and that the
Consulting Physician may NOT be licensed to
practice medicine in my state of residence;
This
consultation and treatment recommendation
constitutes a legitimate physician-patient
relationship in the state where the Consulting
Physician is licensed to practice medicine;
I
acknowledge that it is essential that I provide
truthful answers to the questions on the Medical
Evaluation Form and through out this site. The
Consulting Physician evaluating my medical
information will make a decision based upon my
honest responses in making a decision regarding my
request. I take a solemn oath to provide truthful,
accurate and complete information to the questions
on the questionnaire. I further understand that
failure on my part to provide truthful, accurate
and complete information in detail to the
Consulting Physician could cause him/her or the
pharmacist to make an inappropriate treatment
decision that could adversely affect my physical
or mental health;
I
am under the care of a primary care physician and
do not consider the Consulting Physician to be my
primary care physician. I will not rely on or
substitute the advice given by the Consulting
Physician should it be contrary to or in conflict
with the advice given to me by my primary care
physician. Before taking any medication
prescribed, I will ensure that I have completed a
comprehensive physical examination by my primary
care physician;
I
further agree to make MedzOnline.com and my Consulting
Physician and pharmacist aware of any changes in
my medical condition or medications;
I
am aware of the risks, benefits, alternatives to,
and potential side effects of this medication and
have had the opportunity to ask any questions that
I may have had regarding my health situation
and/or treatment;
It
is my responsibility to have an annual physical
examination, including any suggested laboratory
tests, to ensure that I do not have a condition
which will make use of this medication
inappropriate or dangerous;
I
have consulted with my physician and/or pharmacist
and am not currently taking any medication or
combination of medications that will make the
medication I am requesting inadvisable or
contraindicated;
It
is my responsibility to notify my primary care
physician that I am taking the medication that I
requested so that they may advise me as to whether
or not I should continue or discontinue its use;
MedzOnline.com
does not practice medicine. I understand that
MedzOnline.com is a Management Service Organization that received
my request for a physician consultation and, in
turn, directs that request to a qualified
independent physician for review and response. The
physician who reviews my medical history and who
makes the medical determination as to whether or
not I receive the medication I am seeking is
solely an independent contractor of MedzOnline.com
and
is not an agent or employee of MedzOnline.com or its
affiliates. MedzOnline.com does not direct, control or
influence the treatment decisions made by the
Consulting Physician with respect to my care
and/or my request from MedzOnline.com is not liable
for any negligent act or omission of the
Consulting Physician;
I
understand that my medical record becomes the
property of the Consulting Physician or
MedzOnline.com,
and that, in addition, MedzOnline.com will have
continuing access to and the right to copy and
retain any and all portions of my medical record;
The
undersigned acknowledges that it is illegal to
attempt to obtain a prescription medication for
any reason by providing false or misleading
information or by any other means of deception;
In
consideration of MedzOnline.com undertaking to render
the undersigned patient any administrative or any
other services relating in any way to this
agreement, of MedzOnline.com disclosing information or
methods of treatment to patient (either of which
are deemed sufficient consideration for this
agreement), in the event any court determines that
the undersigned patient sought medical treatment
or medical prescriptions through MedzOnline.com for
the possible or apparent purpose, directly or
indirectly, of deception, assisting any
investigation, or rendering of any type of
assistance to, or disclosing of any information
pertaining to MedzOnline.com its procedures, officers,
directors, consultants, or medical protocols, to
any news organization, possible or actual
competitor, any type of governmental agency, any
investigator or any party for possible or apparent
purposes of securing any information, confidential
or otherwise, about MedzOnline.com, its officers,
directors, shareholders, affiliates, banking
relationships, contractors, medical laboratories,
Consulting Physicians, medical protocols, sources
of pharmaceuticals, or proprietary medical
treatment protocols, then the undersigned patient
knowingly, expressly and irrevocably consents to a
judgment in favor of MedzOnline.com, its officers, or
any party proceeding under the authority of this
instrument, of liquidated damages, jointly and
severally against the undersigned patient, as well
as any express or apparent principle (including
patient's employer), as an authorized or apparent
agent of his/her principle or employer, in the
amount of six million dollars ($6,000,000), which
liquidated damage amount is hereby accepted by the
undersigned as a reasonable amount for engaging in
such acts of deception and because they are
difficult to ascertain. The undersigned patient,
if engaging in such deception or any of the above
described acts, agrees on behalf of himself and
his/her principle, to pay all reasonable
attorney's fees and costs incurred by any person
or entity seeking to enforce this agreement. This
agreement represents the complete and entire
agreement between the parties to it;
The
undersigned also agrees that if the Consulting
Physician approves the patient for a requested
prescription medication, then the Medication and
Prescription charges will be deemed to be earned
and will be immediately due and payable and not
refundable. In the case that the patient is denied
the prescription medication requested there would
be no administrative fee charged.
Privacy
Statement
We have the
following privacy statement in order to
demonstrate our firm commitment to privacy. We are
here disclosing our practices regarding
information gathering and practices for this
website.
With the
"Order" form we collect contact
information (like your email address) and
financial information (credit card numbers). This
information is only used to fulfill our customer
orders. Financial information that is collected is
used to bill the user for products and services.
Medical information is used by our medical staff
to approve or decline orders for specific
medications.
We
may use third-party advertising companies to serve
ads on our site. These companies may employ
cookies and action tags (also known as single
pixel gifs or web beacons) to measure advertising
effectiveness. Any information that these
third parties collect via cookies and action tags
is completely anonymous. If you would like
more information about this practice and your
choices, click
here.
Shipping
Policy
Once your
order is approved, it will be forwarded to the
pharmacy for fulfillment. Once the pharmacy has
received your prescription, it will be filled and
shipped within two business days. We will notify
you only if there is a problem with your order. If
you do not hear from us, you may assume that your
order processed.
We do not
process prescription orders on Sunday. If you
place an order after 10:00 am Eastern Standard
Time on Saturday, the order will most likely be
reviewed by the physician and be sent to the
pharmacy on Monday.
All orders are
shipped by Federal Express delivery. Federal
Express $18 (U.S. orders only).
NO P.O. BOXES
Please remember
that FedEx will require an adult signature at
delivery. We must ship your order to a place of
business or a residence where there is someone
available to sign for the package during regular
business hours.
CONTACT US
Our site uses
the "Contact Us" form for customers to
request information about problems with an order
or to ask a question or make comments, or request
information about products, and services. This
information is only used to help our customers.
QUESTIONS
ABOUT YOUR ORDER and CANCELLATION POLICY
You may cancel
your order before it is shipped
by filling out our Contact Us
form. During after hours you may leave a voice
mail message. If the order has not yet been
approved by the physician, we will cancel your
order. You cannot cancel an order once the
physician has approved it.
No refunds or
exchanges of prescription medications due to
Federal Law.
Consultation
disclaimer
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