When obtaining prescription medications through this service, it is crucial that all information is truthful and accurate. Please read and agree to the following:

Truthful Disclosure: I affirm that all health information I have provided in the course of seeking a prescription is true, correct, and complete to the best of my knowledge. This includes my medical history, current medications, allergies, and any symptoms or conditions I have reported to the doctor. I understand that providing false or misleading information to obtain a prescription is not only dangerous to my health but may also be illegal. I consent to the healthcare providers relying on the information I have given, and I accept full responsibility for any consequences that result from inaccuracies in that information.

No Third-Party Medication: I confirm that I am requesting the prescription medication for my own personal use only. I will not use the prescription to obtain medication for another person. I will not share or redistribute any medication obtained through this service to anyone else, as it is prescribed specifically for me and my condition.

Use Only as Directed: I agree that I will use the prescribed medication exactly as directed by the physician. I will follow the dosage schedule and instructions given in the prescription. I will not exceed the recommended dose, nor will I discontinue use prematurely or otherwise alter the regimen without consulting the prescribing doctor. If I have any issues following the prescription or wish to stop, I will inform the doctor to get proper guidance.

Accuracy of Personal Details: I have provided accurate personal identification details (name, age, etc.) which will appear on the prescription. If the prescription requires any personal identifiers (such as an ID number), I have provided the correct information for that as well. I understand that the pharmacy will verify that the prescription details match my identification at the time of delivery if required.

Medication History: I have disclosed any similar medications I have taken in the past, or any recent prescriptions from other doctors, to ensure that there is no duplication or dangerous interaction. I consent for the doctor to know what other prescriptions I have (if any) so they can judge appropriateness. If during the program I obtain any new medications from another healthcare provider (for any condition), I will inform the program's doctor especially if it could interact with the weight loss medication.

Consequences of False Information: I understand that if I intentionally provide false information (for example, hiding a medical condition or pretending a medication is for me when it is for someone else), the service providers may terminate my participation and refuse to provide further services. I also understand I could face legal consequences under applicable laws for misuse of prescription medications or providing false medical information. I accept that I may be liable for any harm that results from such misrepresentation.

Consent to Verification: I consent to PFC or its medical/pharmacy partners taking reasonable steps to verify the information I provide if needed. This could include verifying my identity (via ID proof) and, in some cases, confirming a past prescription or report I provided is genuine (for instance, they might verify a lab report if there is doubt about its authenticity). This is to ensure patient safety and legal compliance. I agree to cooperate in any such verification process.

By agreeing to this consent, I acknowledge that I understand my responsibility to be honest and accurate. I understand that the effectiveness and safety of my treatment depend on the accuracy of the information I provide and the correctness of my use of the medication. I hereby consent to the above and authorize the issuance of prescriptions based on the information I have provided.