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I, the patient, hereby certify that I have read, understood and agree to the following:
  • I am visiting this website, BestQualityHealth.com, of my own accord.
  • I certify that I am 21 years of age or older and that I have answered all questions honestly and am able to make my own decisions based on my medical condition(s)
  • I realize there are possible risks and side effects to any medication, including over-the counter medications, and I am informed of possible effects, I consent to treatment.
  • I agree to speak with the prescribing physician should he/she feel it is necessary.
  • I am permitted by law in my city and state to receive the medication prescribed by the physician.
  • Within the past year, I have had a physical examination and medical history evaluation by my primary care physician, who is available for any necessary follow-up care should it be necessary.
  • I am fully informed and understand the risks, benefits, and possible side effects of the prescription medications, which may be prescribed by a physician.
  • I have safely taken the medication(s) I may request under a physician's supervision or been advised by an examining physician that the use of the medication(s) is not contraindicated for me and is appropriate for my therapeutic and medical needs.
  • I am requesting the prescription medication(s) solely for my therapeutic and medical needs.
  • I will not distribute, stockpile, or share prescribed medication(s) with others.
  • I am requesting that a licensed physician act only in an adjunct capacity to my primary care physician, not replace my primary physician, when reviewing my request and if authorizing the prescription drug.
  • I will promptly contact my primary care physician or local emergency room for any necessary medical complications or concerns resulting from the use of a prescribed medication.
  • I acknowledge that I will be using a pharmacy through Best Quality Health and waiving my right to select my own pharmacy.
  • The credit card I am using belongs to me or I have the permission of the credit card holder.
  • I will answer all questions asked on the Medical Health Profile, by the physician and/or medical personnel honestly and to the best of my knowledge.
  • I will immediately inform my primary care physician of any new treatment I receive.
  • I understand that if I cannot be contacted or cannot provide the proper identification or required records, all monies will be forfeited 45 days after requesting medication
  • I have not ordered or received this medication from anywhere in the past 27 days. If you have ordered or received this medication from anywhere in the past 27 days your order will not processed.

Release and Consent to Treatment Agreement.
  • I, the patient, hereby release Best Quality Health, all of its employees and contractors including physicians and pharmacies from any and all liability associated with or connected to the medication prescribed and/or consultation.
  • I hereby state that I am an adult (21 or older) and that I am aware of the potential side effects associated with the medication prescribed.
  • I agree to answer truthfully and to the best of my knowledge all medical questions on my Medical Health Profile.
  • I understand that no doctor, nurse, or administrative personnel can guarantee that any medication, even if prescribed, will provide the results I seek. Further, I understand that even if prescribed, I may suffer adverse effects from medications. I hereby release Best Quality Health and all of its employees and contractors including physicians and pharmacies from any and all liability whatsoever associated with any adverse effects I may suffer from my use of medications prescribed.
  • I, the patient, initiated the contact with Best Quality Health and understand that its physicians my be located in a different state than the one in which I reside, and that the physician may not be licensed to practice medicine in my state of residence.  I agree that all online, telephonic and/or video medical consultations, diagnoses, and treatments will be deemed to have occurred in the state where the physician is physically located and licensed to practice medicine.
  • It is my responsibility to use medications only as prescribed.
  • I fully understand that it is my responsibility to have a physical examination, including any suggested laboratory tests, to ensure that I have no disease(s) that might make prescribed medications inappropriate for my condition.
  • I agree to contact my primary care physician and/or pharmacist prior to taking any over-the-counter or newly prescribed medication.
  • I further agree that I have consulted with my physician and/or pharmacist and hereby warrant that I am not taking any medications or combination of medications that are on the published list of medications that are contraindicated with my prescribed medication.
  • I further agree to immediately notify my primary care physician or any doctor whose present care I am under that I have chosen to take prescribed medication so that they may advise to continue or discontinue use.
    Best Quality Health is unable to accept returns or issue refunds for any orders due to the fact that this is a prescription medication.
    The laws will not allow ANY returns to the pharmacy under any circumstances.




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