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I agree and acknowledge that I am requesting a prescription for Vitamin or HCG injections and that this prescription will be generated in the state of Connecticut although my product may be shipped to another location. I represent and warrant that all of the medical and personal information that I have submitted with this request is accurate and comprehensive. I further warrant that I am 18 years of age and that I am requesting this/these prescriptions for myself only.

I understand that I may not receive a prescription for the product/products I have ordered and that that decision is solely based upon the information I have provided. Furthermore, I understand that if my prescription is not approved, I will receive a complete refund via eCheck within 3 to 5 business days.

I have read the Injection Instructions carefully and acknowledge that I understand the same. I have had all medical questions regarding this prescription answered to my satisfaction. I understand that if I have any further medical questions, that I can call 855-862-9510 to get them answered by a medical professional.

I understand that all sales are final, no returns can be accepted being sterile pharmaceutical prescription products and no refunds will be made.

I understand that this is a prescription service and that I have the right to receive my prescription to have filled at the pharmacy of my choice I further understand that if I don’t request a prescription that it will be automatically filled and shipped to me at no additional cost.

I have already or agree to consult with my primary care physician regarding the use of the products purchased with this order and before using any of the products purchased with this order.

I understand that the FDA states that “HCG has not been demonstrated to be effective adjunctive therapy in the treatment of obesity. There is no substantial evidence that it increases weight loss beyond that resulting from caloric restriction, that it causes a more attractive or ‘normal’ distribution of fat, or that it decreases the hunger and discomfort associated with calorie-restricted diets.”