| We are sorry to inform our Kentucky and Tennessee patients that until further notice we will be unable to ship there. We assure everyone that we are working very hard to resolve this issue and greatly appreciate your patience and sympathize with your situation. Please email customer service with any questions or concerns. |
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By placing my order with Fedxmeds, I accept and understand the following:
1. I give my permission for Fedxmeds and our medical partners to perform and undertake an on-line medical consultation and evaluation of me as a potential patient. Fedxmeds does not replace your main primary care, rather an addition to.
2. By submitting a questionnaire for review for a consultation and possible prescription(s), I agree to release from liability and hold harmless Fedxmeds, their affiliates, subsidiaries, directors, officers, employees, representatives, and independent contractors from all causes of action, suits, penalties, liens, judgments, liabilities, obligations, losses, actual or consequential damages, actual or threatened claims which may arise at any time by reason of, relating to, arising directly or indirectly out of any matter whatsoever related to the prescription of my selected medication.
3. This consultation 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 Fedxmeds. 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. I further agree to immediately notify any Physician whose present care I am under that I have chosen to take a prescription prescribed by Fedxmeds so that they may advise to continue or discontinue use. Should I engage a new Physician's care in the future, I further agree to immediately notify said Physician of my use of treatments prescribed by Fedxmeds.
4. I accept and understand that treatments prescribed by Fedxmeds may have side effects that may be defined by the Physician during my consultation and will additionally be included with my prescription. The possible side effects and complications are being provided based solely upon the information given to Fedxmeds by me both verbally and included in the written questionnaire provided to Fedxmeds.
5. I hereby release Fedxmeds and all of their employees and contractors including physicians and pharmacists from any and all liability whatsoever associated or connected with my consultation and/or my use of treatments prescribed. I hereby state that I am an adult as defined in the state of which I reside. I understand that falsifying information in order to obtain prescription medication is a violation of both State and Federal US law. I hereby agree to answer truthfully all of the medical questions on my questionnaire.
6. I understand that no Physician, nurse, or administrative personnel can guarantee that beneficial treatments, even if prescribed, will provide the results I seek. Further, I understand that even if prescribed, I may suffer adverse effects from treatments. I hereby release Fedxmeds and all of its employees and contractors including physicians and pharmacists from any and all liability whatsoever associated with any adverse effects I may suffer from my use of prescribed treatments. I understand that it is my responsibility to furnish Fedxmeds with my complete and accurate medical history and follow up thereafter with any changes to it which occur at a subsequent time.
7. I understand that the proposed consultation and care may involve risks and possibilities of complications and that certain complications or side effects have been known to occur in patients who take prescribed treatments even when the utmost care, judgment, and skill are used. I acknowledge that no guarantees have been made to me as to the results or are there any guarantees against favorable results, risks, or complications.
8. 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.
9. I accept the risk of substantial and serious harm and/or complications from taking treatments prescribed by Fedxmeds and their medical partners. I acknowledge that I understand the risks. Any and all questions that I have about treatments prescribed by Fedxmeds and its attendant risks have been answered to my satisfaction.
10. I understand and agree that Fedxmeds and its physicians, pharmacies, customer service personnel, and employees as designated by Fedxmeds, may view any information I provide to Fedxmeds and/or my physician, in order to receive a physician consultation through Fedxmeds, and that such information will constitute a medical record of mine. I hereby grant permission to Fedxmeds, its physicians, pharmacies, customer service personnel, and employees as designated by Fedxmeds to view and/or exchange such information, in compliance with all State and Federal Law, including the Federal Medication Privacy Act. I further understand and agree that Fedxmeds, my physician, my pharmacy, customer service personnel, and/or employees as designated by Fedxmeds, will maintain my medical record(s). Fedxmeds requires some form of medical evidence of your existing complaint along with photo id faxed to our toll fee number 888-522-7364 Please include on the fax your full name and Fedxmeds membership number. Please ensure the documents are faxed the correct way up.
11. I understand and acknowledge that Fedxmeds and its physicians RECOMMEND A PHYSICAL EXAMINATION BY A Physician BEFORE I TAKE TREATMENTS PRESCRIBED BY Fedxmeds. I understand that an on-line medical consultation 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 prescribed by Fedxmeds. I also ATTEST that the medical condition that I am self-describing is true and that the condition may be defined as an "Emergency Medical Situation." An Emergency Medical Situation" may be defined as "a condition of emergency in which immediate medical care or hospitalization, or both, is required by a person or persons for the preservation of health." This definition may be modified in meaning and or definition to constitute the definition of a "Temporary Physician/Patient Relationship" in the state in which I reside and/or the Physician resides, is licensed and or practices medicine.
12. I acknowledge and agree that I initiated the contract with Fedxmeds and its physicians may be located in another state or country from my own and that the Physician may NOT be licensed to practice medicine in my state of residence.
13. I AGREE THAT ALL ON-LINE MEDICAL CONSULTATIONS, DIAGNOSES, AND TREATMENTS WILL BE DEEMED TO HAVE OCCURRED IN THE STATE WHERE THE PHYSICIAN IS PHYSICALLY LOCATED AND LICENSED TO PRACTICE MEDICINE.
14. I fully understand and agree that if I fail in any way to furnish Fedxmeds with my complete and accurate medical history, or I become aware of any changes in my physical or medical condition in the future and I fail to notify Fedxmeds or its physicians of such changes, then I agree that I am solely responsible for any adverse effects I may suffer from taking or continuing to take treatments prescribed by Fedxmeds or from participating in this program.
15. I understand and agree that Fedxmeds is unable to issue a refund after a prescription has been issued.
16. I understand and agree that I am responsible for all customs, tariffs, and taxes, if applicable, in my state or country. "Please ensure that the medication is permitted in your country."
17. I UNDERSTAND AND AGREE THAT I AM ACCEPTING OR REJECTING THE TERMS OF THIS "CONSENT TO MEDICAL CARE'' BY ELECTRONICALLY MAKING MY CHOICE BELOW. IF I SELECT " I have read and accept the Terms of Agreement'', I ACKNOWLEDGE THAT SUCH CHOICE WILL CONSTITUTE THE EQUIVALENT OF MY SIGNATURE UPON A BINDING AGREEMENT BETWEEN Fedxmeds AND MYSELF.
18. I have read and understood the above-referenced provisions and authorize and accept the proposed terms and care regardless of the medical or legal risks and I declare that I understand the risks.
19. I hereby authorize a charge of $120.00 to be charged to my credit card as a consultation fee at the time of booking an appointment. I understand that this charge is in addition to the cost of any possible prescribed medication, and if so, I understand that I may automatically qualify for up to two additional months of refills without a processing or additional consultation fee. I also understand that I must initiate any refills by contacting Fedxmeds via its' website. I hereby authorize shipping and prescription charges to be charged to my credit card in accordance with the shipping information that I have supplied and any prescriptions that have been prescribed to me as a result of the Physicians' consultation. If the doctor fails to provide medication then a full refund is given.
20. If I have chosen the COD payment option, offered by Fedxmeds, in order to gain a consultation, I agree to provide funds required by Fedxmeds in the form of a cashiers check or money order to be paid to Fedxmeds.
21. 'Refunds will be given at the discretion of the Company Management'
CONTRACT FOR CONTROLLED SUBSTANCE PRESCRIPTIONS
Controlled substance medications (Narcotics and Benzodiazepines) may be very useful, but have a high potential for misuse and abuse and are, therefore, closely controlled by the local, state, and federal governments Used properly, they are very effective modifications If used excessively, however, they may cause adverse effects. To insure these medications are used properly, I agree to the following conditions.
1. I am responsible for my controlled substance medications. If the prescription or Medication is lost, misplaced, or stolen, or if I use it up sooner than prescribed, I understand that it will not be replaced.
2. I will not request, nor accept controlled substance medication from any other physician or individual while I am receiving such medication from my physician, except if I am a patient in a hospital. Besides being illegal to do so (NRS 453.391), it may endanger my health.
3. Prescriptions of controlled substance medication will be made only AFTER a scheduled consultation with a Fedxmeds.com Doctor, and only AFTER the patients Medical Records, Photo ID, and other required signed documents have been faxed to Fedxmeds.com at 888-522-7364
4. I understand that if I violate any of the above conditions, or decline to take a urine test for controlled drugs at my physician's request, my controlled substance prescriptions may end immediately. If the violation involves obtaining controlled substances from another individual, as described above, I may also be reported to my primary physician, local medical facilities, and other authorities.
I have been informed by my physician about narcotic and tranquillizer effects including nominal physiologic effects of tolerance (need for more medicine to achieve the same pain relief) and dependence (withdrawal will occur if I stop the medicine abruptly), and addiction (abdominal psychological dependence).
I understand that the MAIN TREATMENT GOAL is to improve my ability to function at home and/or work.
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