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you are affirming to the following:
* I have understood that www.Cpotent.com is an independent
online advertising medium and has no ability to operate
as a pharmacy and hence, have no ability to take orders
for prescription drugs and processing of orders. Hence,
it is my sole responsibility to determine the accuracy
and authenticity of the Pharmacy while placing an
order with the pharmacy. I agree that by opting to
purchase the medication, I am solely responsible for
my decision.
* I have read, understand and agree to the “Terms
and Conditions” and “Disclaimer”
published on website. Further, I agree to use the
website in accordance with the stated conditions.
I agree to use the website for only personal and non-commercial
purposes.
* I am a competent adult at least 18yrs of age.
* I am permitted by law in my locale to receive
the medication(s) I am requesting for my personal
medical and therapeutic purposes. Further, I indemnify
www.cpotent.com for any loss, claim, damage or lawsuits
resulting from any medication used.
* I, the patient, have had a recent satisfactory
and sufficient physical examination and medical history
evaluation by a local physician who is available and
whom I agree to contact for any necessary local follow-up
care and intervention, in case I have any difficulties,
possible complications, or questions. I know also
that I may contact the prescribing physician and the
dispensing pharmacy, and I will keep those telephone
numbers available.
* I have been fully informed by appropriately trained
health care personnel and understand the risks, benefits,
and possible side effects of the prescription medication(s)
I may request. I have studied written or internet
materials on possible side effects of the prescription
medication(s) I may request. I have studied written
or internet materials on these drugs including the
websites and links that offer in-depth material.
* I also affirm that I have previously safely used
the medication(s) I may request, under a physician's
supervision, or I have been advised by my examining
physician that the use of the medication(s) is not
contraindicated for me and is appropriate for my personal
therapeutic and medical needs.
* I am requesting the prescription medication(s)
solely for my own personal therapeutic and medical
needs, and will not distribute any of the medication
to others.
* I am requesting that a licensed prescriber act
only in an adjunct capacity to my local physician,
and not replace my local physician, when reviewing
my request. I further request the prescriber to authorize
the prescription medication(s) for dispensing by the
e-clinic's associated licensed pharmacy.
* I affirm that I am seeking the prescription(s)
for a necessary supply of medication, not to stockpile
medication beyond an already adequate supply on hand.
* I will promptly contact my local physician for
any necessary medical intervention should a complication
or concern result related to the use of a requested
medication.
* I agree not to take any over-the-counter medicines
without approval from my pharmacist who is informed
of my use of this and all medications.
* I am allowed by law to use the credit card that
will be used if my request is approved and processed.
Further, I agree to pay all the charges involved and
represent that the credit card company will honor
my bills.
* I realize there are risks as well as benefits
to any medication, even over-the-counter medicines.
I have been fully informed of the effects, risks,
and benefits of this medication. I agree that I have
been previously and recently examined sufficiently
as to physical and medical condition, and I have been
provided sufficient information and adequately understand,
the same as or more than, if this consultation had
taken place with my local physician in a physical
office setting.
* I fully agree that as a customer it is my sole
responsibility to abide by the rules, taxes, and tariffs
applicable in the country I reside.
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