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·       I am requesting medication solely for the purpose of my own use.

·       I will use this medication according to the instructions given by my physician.

·       I will contact immediately my personal physician in case of any complication concerning the ordered medication.

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·       I am requesting that a licensed prescriber act only in an adjunct capacity to my local physician, not replace my local physician, when reviewing my request and if authorizing the prescription drug(s) for dispensing by the virtual clinic's associated licensed pharmacy,

·       I am seeking the prescription(s) for a necessary supply of medication, not to stockpile beyond an already adequate supply on hand

·       I have and will answer all questions truthfully, for my safety, just as I would in my local physician's office and care,

·       I realize there are risks as well as benefits to any medication, even OTC drugs, and having been informed of possible effects, I consent to treatment as I may request.

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