|
Disclaimer:
I understand I must read and agree to the following
acknowledgment and release form before Buy Canadian Meds.net
and its Associated Pharmacy will be able to fill any of my prescriptions.
Buy Canadian Meds.net and its Associated Pharmacy
, its affiliates and related companies, shall be hereinafter
collectively referred to as BCM&AP.
I hereby confirm that I am 21 years of age or
older, or the parent or legal guardian of a patient if under
the age of 21 years, and that I am fully competent to make my
own health care decisions. I am aware of the potential side effects
associated with prescription medications and understand that
it would be a violation of law to falsify any information on
my questionnaire or other medical record for the purposes of
obtaining prescription medication. I agree to truthfully and
to the best of my knowledge answer all the questions in my medical
questionnaire. I agree that if I fail in any way to fully furnish
my complete and accurate medical history if I become aware of
any changes in my physical or medical condition in the future
and I fail to notify BCM&AP of such failure, that I am solely
responsible for any adverse effects that I may suffer from taking
or continue to take such prescribed medications.
I confirm to BCM&AP that the pharmaceutical(s)
to be delivered to me were prescribed by a doctor licensed to
practice medicine in the country, state or other applicable jurisdiction
in which the undersigned resides, that the prescription(s) for
the pharmaceuticals were lawfully obtained from that physician
and that the pharmaceutical(s) will be used only as directed
and only by the person for whom the pharmaceutical was prescribed.
BCM&AP is required to have a licensed Canadian
Physician (the "Canadian Physician") review my medical
information for the purposes of independently verifying whether
the medications prescribed by My Own Physician are appropriate.
By reviewing my medical information, the Canadian
Physician is not rendering or providing any service or advice
to me whatsoever. I understand that it is my responsibility to
have My Own Physician conduct regular physical examination of
me, including any and all suggested testing by My Own Physician
to ensure that I have no medical problems which would constitute
a contradiction to me taking medication prescribed for my by
My Own Physician. I agree that should I suffer adverse effects
while taking any prescription medications, that I will immediately
contact My Own Physician and that in the event I come under care
of another physician, I inform him or her of any and all medications
that I have been prescribed. I acknowledge and agree that BCM&AP
recommend regular physician examinations with My Own Physician
whose care I am under and who initially prescribed my medications.
I hereby give permission to My Own Physician to
release any and all medical information and data whatsoever which
BCM&AP shall request for the purposes of performing a medical
review to determine whether the medications prescribed by My
Own Physician are appropriate in the circumstances. I hereby
give permission to My Own Physician to release my medical files
and medical reports as needed to obtain sufficient information
for the purpose of such review.
I understand that any information provided to
BCM&AP may be seen by its employees, agents and contractors
and that this information will constitute a medical record. This
information will not be shared with any associates or third parties
outside of or not affiliated with BCM&AP.
I understand and agree that BCM&AP are located
in the country of Canada and that the Canadian Physicians and
pharmacists working for BCM&AP are located and licensed to
practice medicine and pharmacy, respectively in Canada only and
any prescription if any that I am receiving from such physicians
and pharmacists shall be deemed to be received by me in Canada.
I further understand that BCM&AP will only
verify and fill medications that My Own Physician has already
prescribed to me. I also understand that no controlled medications,
narcotics, tranquilizers or other medications that the Canadian
Physician decides is inappropriate, will be filled.
I hereby waive any requirement of the Canadian
Physician under the laws of Canada, the United States or any
other country to conduct a physical examination.
I understand and agree that the review of medical
information by a Canadian Physician is in no way intended as
a means to diagnose any medical condition and does not substitute
the requirement for me to obtain my own professional advice from
My Own Physician. I will consult My Own Physician before taking
any 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 respected authors of distributors
of such content.
I hereby waive my right to pharmacy counseling,
as I have previously been counseled.
I release Buy Canadian Meds.net and all associates
and directors, as well as all associated pharmacies and companies
from all liability and error, and understand that ordering from
Buy Canadian Meds.net and its Associated Pharmacy is done so
at my own risk.
I AGREE THAT BUY CANADIAN MEDS.NET, ALL ASSOCIATES,
DIRECTORS, ASSOCIATED COMPANIES AND PHARMACIES, AND THE CANADIAN
PHYSICIAN SHALL NOT BE LIABLE FOR ANY LIABILITY, CLAIM, LOSS,
DAMAGE OR EXPENSE OF ANY KIND OR NATURE CAUSED DIRECTLY OR INDIRECTLY
BY ANY INADEQUACY, DEFICIENCY OR UNSUITABILITY OF THE PRESCRIPTION
ISSUED BY THE CANADIAN PHYSICIAN OR THE INADEQUACY, DEFICIENCY
OR UNSUITABILITY OF THE CANADIAN PHYSICIAN'S REVIEW OF MY MEDICAL
INFORMATION. IN NO EVENT WILL BUY CANADIAN MEDS.NET, ALL ASSOCIATES,
DIRECTORS, ASSOCIATED COMPANIES AND PHARMACIES, AND THE CANADIAN
PHYSICIAN BE LIABLE OR RESPONSIBLE FOR ANY DAMAGES WHATSOEVER,
INCLUDING, DIRECT, INDIRECT, PUNITIVE, SPECIAL OR CONSEQUENTIAL
DAMAGES, EVEN IF ADVISED OF THE POSSIBILITY THEREOF.
By using this site you agree to the terms and
agreements between you and BCM&AP. This agreement also governs
the use of our website buycanadiandrugs.net and all of its contents.
You agree to be bound by this agreement each and every time you
use this website and accept all responsibility for all charges
if any associated with connecting to BCM&AP prescription
service.
I understand that all prices will be charged to
my credit card in US dollars.
|
