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Privacy Statement
As part of the processing of your order through www.suprememeds.com you will be asked to provide certain identifiable personal information, which includes your name, email address, telephone number, mailing address, telephone number, billing information including your credit card number or checking account information, in addition to other information to facilitate the ordering, billing, or payment process. This information is maintained in a secure encrypted form and is not given, sold, traded, or otherwise provided to third parties unless legally required. Medical information provided on a medical questionnaire or as a part of any medical consultation or any prescription information or other medical information will not be released other than to the prescribing physician and the pharmacy or to the subscriber or their authorized representatives or designated agent. We may release aggregate statistical or demographic information to third parties, but will not release any info that is personally identifiable. Your IP address is logged and may be used to administer our website and diagnose any problems with our server, or prevent fraud. We may also use the information you provide us to send you information about your order, additional information about the site, or information about special offers or services through us or our affiliated companies that you might be interested in receiving, unless you request not to receive such information. Our site uses cookies to help us identify you as a prior customer, retrieve information you provided previously, and otherwise personalize your interaction with our site. You should refer to your browser instructions or help menu if you would like information on whether your browser enables you to block cookies, receive a warning before a cookie is stored, or remove cookies from your computer's hard drive. www.suprememeds.com is not responsible for the content of any other third party site linked to this site or any other site through which you accessed www.suprememeds.com and you should refer to those sites for any applicable terms of use or privacy or security policies.
Patient Agreement and Acknowledgement
As a subscriber or potential subscriber to the services provided by or through this website, I hereby understand, accept, and agree to the following:
- I am seeking medical consultation via the Internet through www.suprememeds.com of my own volition and realize that the physician reviewing my medical history will not conduct an in person physical examination.
- I am either utilizing this site because I am seeking a specific prescription medication to treat an already-identified medical condition or to determine whether or not I fit the criteria for certain prescription medications. I am not consulting with my regular primary car physician at this time for personal reasons or because this website is more convenient under my circumstances.
- I understand that a physician who is licensed in the United States will review my "Medical History Form".
- I acknowledge that the physician prescribing the medication(s) (referred to below as the "Internet Physician") may be located in a state other than my own, and that such physician may NOT be licensed to practice in my state. Therefore, I agree that all on-line medication consultations, diagnoses, and treatments will be deemed to have occurred in the state where the physician is "physically" located and licensed to practice medicine.
- I am under the care of a primary care physician and I do not consider the Internet Physician to be my primary care physician (unless I visit said physician for an in-person personal doctor/patient consultation).
- I am aware of the potential side effects associated with this medication.
- In the event that the advice provided to me by my Internet Physician contradicts the advice provided me by my primary care physician, I will NOT rely on the advice of the Internet Physician.
- I agree that I will make no claim that the Internet Physician acted unprofessionally or below the standard of care solely because the physician did not perform an in-person hands-on physical examination on me.
- I am aware that my responses to the Medical History Form are of vital importance, and that my failure to provide truthful, accurate and complete information to the Internet Physician could cause the physician to make an in appropriate treatment decision affecting my physical or mental condition. I further recognize that the Internet Physician reviewing my Medical History Form will approve or reject my application based upon my responses. Therefore, I acknowledge and represent that I responded to each question on the Medical History Form truthfully, accurately, and completely.
- I acknowledge that no prescription medication may be returned for a refund in whole or in part.
- Before taking any medication prescribed hereby, I will have completed an extensive physical examination by my primary care physician and shall request a written report of that examination.
- I acknowledge that www.suprememeds.com does not practice medicine. www.suprememeds.com is an organization that will receive electronic transmission of my request for a physician consultation and direct that request for an independent physician to review and respond in the physician's professional judgment. In no way does www.suprememeds.com attempt to direct, control or influence the medical opinions or decisions made by the Internet Physician with respect to my care.
- I acknowledge that the physician who reviews my medical history and who make the medical determination as to whether or not I receive the medication I am seeking is not an agent, or employee www.suprememeds.com .
- I agree that any dispute arising out of or related to the provision of services by the www.suprememeds.com , by the Internet Physician or their affiliates, employees, partners and agents, shall be subject to mandatory mediation for a reasonable period of time. Should mediation fail to resolve the dispute issue(s), said dispute shall be subject to final and binding arbitration, as set fourth in the United States Arbitration Act.
- In accordance with the United States Arbitration Act, I agree that any dispute arising out of or related to the provision or services by www.suprememeds.com or the Internet Physician or the affiliates, employees, partners and agents, shall be subject to final binding arbitration exclusively through the Procedures of the American Arbitration Association. I understand that this agreement is voluntary and that it is binding to any individual or entity claiming by or through me or on my behalf; and I chose this site on my own accord from several Internet options. Any medications, arbitration, administrative proceedings, complaint, court proceeding, or other proceedings pertaining to this website shall be held exclusively in Walton County, Florida.
- I hereby release www.suprememeds.com and the Internet Physician from any and all claims that the Internet Physician acted below the requisite standard of care solely because he/she did not personally examine me.
- I have answered with complete veracity all of the questions put to me on the website. I shall make the physicians utilized in the provision of prescription medications through the www.suprememeds.com website aware of any changes to my medical condition in the event I revisit the site to obtain more or different medication.
- I accept all risk involved in taking medication and will not seek any indemnification, any damages of any kind, or any other liability from www.suprememeds.com should I experience side effects.
- It is my responsibility to have a physical examination at least annually to ensure that my continued use of this medication is appropriate.
- I am not currently taking any medications that, when taken the medication(s) requested hereunder so that he/she may advise me as to whether or not I should continue or discontinue its/their use.
- I hereby consent to permit www.suprememeds.com access to any of my medical information, including all medical data contained in the Medical History Form including, but not limited to, any health information relating to HIV and other sexually transmitted diseases, mental health or disease, drug or alcohol treatments ("Medical Data"). I hereby authorize my Physician to release or disclose to www.suprememeds.com any and all Medical Data. I realize that I can void this authorization at any time providing written notices to www.suprememeds.com or to the Internet Physician, except with respect to any action already taken pursuant to this authorization.
- I hereby acknowledge that all information and service provided by or through this web site are provided "as is" without warranty of any kind, expressed or implied.
- In using this web site, I recognize that neither www.suprememeds.com is responsible for the negligent or intentional acts or omissions of any health care provider or supplier that I may be linked with or for any action or inaction taken by me in reliance upon the information communicated to me via this web site, and I hereby hold harmless www.suprememeds.com from and against any liability relating thereto.
- I understand and agree that the potential liability of www.suprememeds.com , if any, relating to my use of and the results of my use this website is limited to purchase price of any products in any relevant transaction.
- I will not hold www.suprememeds.com liable for any direct, indirect, special, incidental, consequential, or punitive damages.
- I hereby release www.suprememeds.com and its employees, agents, affiliates and related parties from any and all liability relating to the effects, be they medical, physical or mental, of any medication(s) I order as a result of the Internet Physician consultation.
- If any provision of this agreement is held to be illegal, void or unenforceable, then this agreement may be modified or amended only to the extent necessary to enable the remaining provisions to be of force and effect to the maximum degree.
- This agreement shall be governed by and under the laws of the State of Florida .
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