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at-cost-drugs.com "Agreement" |
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I have read the following and agree:
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 appropiate and adiquate means of evaluating my condition. A licensed 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. Medical evaluations, recommendations, diagnoses, and treatments will be deemed to have occurred at the physician’s location. This consultation and treatment recommendation constitutes a legitimate physician-patient relationship. 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 effect 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 At-Cost-Drugs.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. 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 At-Cost-Drugs.com undertaking to render the undersigned patient any administrative or any other services relating in any way to this agreement, of At-Cost-Drugs.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 At-Cost-Drugs.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 At-Cost-Drugs.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 At-Cost-Drugs.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 irrevocablly consents to a judgment in favor of At-Cost-Drugs.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 ($16,000,000), 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 administrative fee 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. Report Your Experience
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