By placing my order with PrescriptionGiant (http://www.PrescriptionGiant.com), I affirm, certify, warrant, and swear that I have thoroughly and completely read all of the statements and truthfully answered all of the questions contained in this document. In addition, I accept and understand each of the following statements:

1. I am an adult over 21 years of age and under no undue emotional distress. This information is being submitted by my own choice, at my own expense, and my own liability and I assume all responsibility for my use of treatments prescribed by my physician. I fully understand that it is my responsibility to have an annual physical examination, including any suggested laboratory tests, to ensure that I have no disease that might be incompatible for my self-described condition.

2. I give my permission for PrescriptionGiant and our pharmaceutical partners to evaluate me as a potential patient. I understand that use of this website, PrescriptionGiant.com is voluntary. I hereby release PrescriptionGiant, its parent or sister companies, and all of their employees, contractors including but not limited to physicians, pharmacists, suppliers, affiliates and all related parties from any and all liability whatsoever associated or connected with my consultation and/or my use of treatments requested. I understand that falsifying information in order to obtain prescription medication is a violation of both State and Federal US law. I hereby agree that I have answered truthfully all of the medical questions on my medical history form. The reason I accessed this site is because I am seeking treatment for an identifiable medical or cosmetic condition. I understand and accept I have a preexisting condition that requires the medication I am requesting and that I have been provided a valid prescription for this medication.

3. I understand that PrescriptionGiant, its parent or sister companies, and all of their employees, contractors including but not limited to physicians, pharmacists, suppliers, affiliates and all related parties are not my primary care physician, and I agree I will not rely on or substitute the advice given by these sources should it contradict the advice given to me by my primary care physician.

4. I accept and understand that treatments requested by you may have side effects that may not be defined, and it is my responsibility to consult my primary care physician regarding side effects, both short-term and long-term. Any possible side effects and complications I experience are not the responsibility of PrescriptionGiant, its parent or sister companies, and all of their employees, contractors including but not limited to physicians, pharmacists, suppliers, affiliates and all related parties.

5. I accept and understand that I will notify my primary care physician that I intend to begin taking any medications I request for purchase. I agree it is my sole responsibility to seek regular physical examinations, including laboratory tests, to ensure that I do not have a condition, which will make taking any medications inappropriate or dangerous as it pertains to me.

6. The medication I am requesting is solely for my own personal therapeutic and medical needs, and I agree not to distribute any of the medication(s) to others.

7. I accept and understand that the information I provide in the online medical history form will be the basis for the approval to decide and determine whether it is appropriate for me to receive and take the medication I have requested. Therefore, I attest that I have answered the online medical history form completely and truthfully.

8. I accept and understand that failure on my part to honestly, accurately and completely answer the online medical history form could result in an inappropriate treatment decision that could affect my physical or mental health.

9. I understand that neither PrescriptionGiant, its parent or sister companies, and all of their employees, contractors including but not limited to physicians, pharmacists, suppliers, affiliates and all related parties makes any guarantee that the prescription medicines I am requesting will provide the results I seek.

10. I am seeking the requested medication(s) to have a necessary supply of medication on hand, and will not stock this medication beyond an adequate supply.

11. I will promptly contact a local physician for any necessary medical intervention should a complication or concern result related to the use of a requested medication.

12. I will not take any over-the-counter (OTC) medicines without full disclosure to my pharmacist and primary care doctor of all medications that I am taking.

13. I have answered and will answer all questions truthfully, for my safety, just as I would in my local physicians office and under that physicians care. I have fully and completely disclosed any and all information on the online medical history form concerning my health and medical history that may possibly be relevant to my request for this medication.

14. I realize there are risks as well as benefits to any medication, even OTC drugs. As such, I have been fully informed of the effects, risks, and benefits of this medication. I consent to treatment as I may request.

15. I understand and accept that those parties who will be reviewing the online medical history form may not be licensed to practice medicine in the United States.

16. I understand it is possible that those parties analyzing my online medical history form and approving any drug treatment may NOT be located or licensed to practice medicine in the state, province nor country where I am located at the time I submit my online medical history form to PrescriptionGiant.

17. I understand there are potential side effects associated with taking any medication. Further, I have reviewed other materials on these medications and prescription drugs including other web sites and links that provide information about these medications and prescription drugs. By requesting this medication I personally accept all risks involved in taking any medication that may be approved and shipped to me, and I will not seek any indemnification, any damages of any kind, or any other liability from PrescriptionGiant, their employees and contractors including but not limited to physicians, pharmacists, suppliers, affiliates and all related parties if I experience any of the side effects.

18. I understand and agree that PrescriptionGiant is a U.S. pharmacy and does not practice medicine.

19. I understand and acknowledge that PrescriptionGiant, its parent or sister companies, and all of their employees, contractors including but not limited to physicians, pharmacists, suppliers, affiliates and all related parties recommend a physical examination by a doctor before I take any of the treatments, products and/or medications requested. I understand that an online medical history form will not include a physical examination. I hereby waive a physical exam at this time and agree to obtain a timely medical follow-up examination with a physician before I take treatments for which I requested. I also attest that the medical condition that I am self-describing is true and accurate.

20. I accept and agree that my medical records are stored and maintained by PrescriptionGiant. I understand that because PrescriptionGiant forwards the information I submit to this website to a third party, it has access to all my personal information including my health information, and has a right to retain and use any and all portions of my medical record in accordance with laws and regulations.

21. I accept and agree that should any dispute arise out of or related to the provision of services by PrescriptionGiant, its parent or sister companies, and all of their employees, contractors including but not limited to physicians, pharmacists, suppliers, affiliates and all related parties shall be subject to mandatory mediation. Should mediation fail to resolve the issue(s) in dispute, said dispute shall be subject to final and binding arbitration in accordance with the United States Arbitration Act.

22. I understand and acknowledge that there is no implied warranty to me and that treatments may benefit one patient and not another. I understand that there is no known medical treatment that gives 100% satisfaction to everyone.

23. I accept the risk of substantial and serious harm and/or complications from taking treatments I requested. I acknowledge that I understand the risks.

24. I understand this consent does not give PrescriptionGiant, its parent or sister companies, and all of their employees, contractors including but not limited to physicians, pharmacists, suppliers, affiliates and all related parties the right to sell my name or personal or medical information to any third party.

25. The products mentioned are trademarks of their respective owners and are not owned by or affiliated with PrescriptionGiant, or any of its affiliates.

Shipping & Delivery
1. Each product has a specified delivery window noted in the FAQs online.

2. Posted delivery windows can change without notice and are only an estimate as actual shipping times may vary.

3. If a product request does not arrive within the time specified please contact us to make necessary arrangements for a reshipment or a refund. You agree to allow adequate time for potential shipping delays outside of our control.

4. In the event of non-receipt of a product, I can choose to have the product reshipped at no charge or make arrangements for a credit or refund. In the event of a reshipment request I waive my right to request a refund for the order.

5. If an order is seized, detained or confiscated by foreign customs officials your order will be reshipped to the same address, or a refund will be issued thus forfeiting a reshipment.

6. I agree not to hold PrescriptionGiant, its parent or sister companies, and all of their employees, contractors including but not limited to physicians, pharmacists, suppliers, affiliates and all related parties responsible for shipments damaged or tampered with in transit and/or by third parties.

7. I agree not to hold PrescriptionGiant responsible in the event I provide an incorrect shipping address resulting in a lost, non-delivered shipment.

8. All products require an adult signature. It is your responsibility to carefully check each product for accuracy prior to consumption.

9. I agree that I take full responsibility for shipping delays due to incorrect billing information, declined credit card transactions, insufficient funds or any other reason for payment not to be accepted or cleared.

10. It is your responsibility to check the local laws and regulations in your governing location and or state regarding the shipping of medications. You take full responsibility for abiding to these laws and regulations and agree not to hold PrescriptionGiant, its parent or sister companies, and all of their employees, contractors including but not limited to physicians, pharmacists, suppliers, affiliates and all related parties liable for your failure to comply with such governing laws. PrescriptionGiant agrees to take responsibility for abiding to governing laws and regulations regarding shipping and processing your order.

Payment & Refunds
1. I agree that my order will be processed the same day that my credit card is charged.

2. In the event that your order is delivered but does not have the desired or expected effect PrescriptionGiant, its parent or sister companies, and all of their employees, contractors including but not limited to physicians, pharmacists, suppliers, affiliates and all related parties will not be held responsible for a refund.

3. If I submit a chargeback on the payment used to pay for my order and the Terms & Conditions set forth in this document have been followed, I agree that PrescriptionGiant will not allow me to use their services again.

4. If my order is shipped to an address other than the shipping address specified, or if the incorrect order is received PrescriptionGiant will refund your order in full.

5. If my order, or a portion of my order, is not available after payment has been accepted and cleared, the unfulfilled portion of your order will be refunded in full.

6. I agree that I take full responsibility for shipping delays due to incorrect billing information, declined credit card transactions, insufficient funds or any other reason for payment not to be accepted or cleared.

7. In the event a check is returned for insufficient funds I agree to pay a $30.00 fee.

8. I hereby agree that any delinquent unpaid debts to PrescriptionGiant and its parent or sister companies will be transferred to a licensed debt collection service.

9. I hereby agree that the FDA prohibits the return of any prescription medications.

10. Product images displayed on this Web site may not represent the actual packaging you receive.