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I hereby release this website
and all of their employees and contractors including physicians
from all liability associated with my ViagraŽ consultation
and/or the use of ViagraŽ. I understand that no physician,
nurse or administrative personnel can guarantee that ViagraŽ,
even if prescribed, will provide the results I seek. I hereby
agree to answer truthfully all of the medical questions during
my consultation. I also understand that if I fail in
anyway to furnish viagra-canada-online-pharmacy.com with my complete
and
accurate medical history or became aware of any changes in
the future which I have not notified viagra-canada-online-pharmacy.com
of
then I cannot hold them responsible for any adverse effects
I may suffer.
I realize Erectile
Dysfunction (ED) may be caused by underlying medical conditions
such as but not limited to cancer, diabetes or conditions
involving the cardiovascular system. ViagraŽ may control
your (ED) but it does not treat these possible-underlying
conditions. I also understand that cardiovascular events
can be associated with sex and other strenuous activities
with or without the medication.
I am fully
aware that it is my responsibility to have an annual physical
exam, including any suggested laboratory test, to ensure that
I have no disease, which might make ViagraŽ inappropriate
for me. I also understand that this consultation is
not a substitute for my need to visit a local physician for
my annual exam. I further agree to notify all physicians,
whose present care I am currently under or any physician who
I will engage in the future, of my decision to use ViagraŽ
so they may advise to continue or discontinue the use of medication.
I further agree if I am taking nitrates
in any form, even occasionally, I should not take ViagraŽ.
Nitrates are found in many prescription medications
that are used to treat angina or chest pain due to heart disease.
I will take precaution concerning the transmission of sexual
diseases and I will seek immediate medical attention if an
erection persists longer than three hours. I understand
that ViagraŽ is to be taken only once per 24-hour period and
the standard dose is 50mg. Finally, I understand a qualified
licensed physician, who may or may not be licensed to practice
medicine in my Providence, will evaluate the information I am providing.
If approved,
I irrevocably appoint viagra-canada-online-pharmacy.com to be my agent and
have my prescription and any refills filled by the Pharmacy
of its choice and acknowledge that the prescription obtained
for me is non-transferable. We are unable to accept returns
or issue refunds for any orders due to the fact that this
is a prescription medication.
Continue with my Viagra order (click here)
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