
Before you place your first order for Cialis you must read and agree to the following:
Disclaimer.
I hereby release EuropeanPharmacie.com and all of its employees and contractors
including physicians from any and all liability whatsoever associated or connected
with my Cialis® request and/or use of Cialis®. I hereby state that I am an adult
and that I am aware of the potential side effects associated withCialis®. I
understand that no doctor, nurse, or administrative personnel can guarantee
that Cialis®, even if prescribed, will provide the results I seek. Further,
I understand that even if prescribed, I may suffer adverse effects from Cialis®.
I hereby releaseEuropeanPharmacie.com and all of its employees and contractors
including physicians from any and all liability whatsoever associated with any
adverse effects I may suffer from my use o fCialis®. I am participating in this
programme at my own choice, at my own expense and my own liability and assume
all responsibility for my use o f Cialis®. 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(s) which might make Cialis®
inappropriate for my condition. I further agree that I have consulted with my
physician and/or pharmacist and hereby warrant that I am not taking any medications
or combination of medications that are on the published list of medications
which would make Cialis® contraindicated. I further agree to immediately notify
any doctor whose present care I am under that I have chosen to take Cialis®
so that they may advise to continue or discontinue use. I wish to have prescribed
and supplied to me products that are as inexpensive as possible, without prejudice
to the other factors that are to be considered by those prescribing my pharmaceuticals
and those fulfiling the prescriptions.
Patient declaration.
I am at least 18 years of age. I am permitted by law in my country of residence
to receive the medication(s) I am requesting. I have had a recent physical examination
by a physician who is available for any necessary follow-up care and intervention.
I have been fully informed and understand the risks, benefits, and possible
side effects of the prescription drug(s) I may request. I am requesting the
prescription medication(s) solely for my therapeutic and medical needs, and
will not distribute any medication to others. I certify that I will use this
prescription medication for, and only for, the prescribed use, and that I will
not use it in conjunction with any illegal substance. I will promptly contact
a local physician for any necessary medical intervention should a complication
or concern arise as a result related to the use of a requested medication. I
am allowed by law to use the credit card that will be used if my request is
approved. I do not require a child safety cap on my medication(s) if prescribed.
I have and will answer all questions truthfully, for my safety, just as I would
with my own doctor. I wish to have prescribed and supplied to me branded product
that is as inexpensive as possible, without prejudice to the other factors that
are to be considered by those prescribing my pharmaceuticals and those fulfilling
the prescriptions.I understand that if I am residebt outside the European Union
that I will be responsible for any customs, tariffs, and taxes, that may arise.
I certify that the foregoing statements made by me are true.
Certification and Warranty of Patient.
I hereby certify and warrant that I am an adult and will carefully read and
truthfully answer all of the questions in the following questionnaire. I further
certify that I will be completing this application with the purpose of employing
the service of the EuropeanPharmacie.com doctor and that he will be relying
on the truth and accuracy of my answers in determining whether I should have
the requested prescription medication supplied to me. I understand if I have
failed in any way to furnish the EuropeanPharmacie.com doctor with my complete
and accurate medical history I have therefore not fulfilled my legal obligation
to properly inform the doctor. I understand that if in the future my medical
circumstances change in contradiction to the information I have provided that
it is my legal responsibility to immediately notify the EuropeanPharmacie.com
doctor and cease all use of the prescribed medication until further notification.