Do you agree and consent to the following?

  1. You are completing this consultation for yourself and to the best of your knowledge.
  2. You will disclose any medical conditions, serious illnesses or operations you have had.
  3. You will disclose any prescription medications you are currently taking and agree to use only one weight loss treatment at a time.
  4. You agree to our Terms & Conditions, Terms of Sale, and confirm that you have read our Privacy Policy.
  5. Your accurate and honest responses to this online questionnaire for weight loss treatment are crucial. Withholding or providing false information can severely harm your health and may result in life-threatening consequences. By filling out this questionnaire, you confirm that your responses are truthful and accurate, acknowledging the potential risks of misinformation.
  6. You agree to undergo identification and age verification. This may require submitting valid documents to our approved third-party verification partner for validation.
  7. You consent to EveryDayMeds accessing your Summary Care Record (SCR) for the purpose of ensuring the safe supply of treatment. If the SCR is unavailable or incomplete, you agree to participate in appropriate two-way communication (e.g. phone, secure message, or video consultation) to verify your medical history. If you do not respond or engage, your order will be cancelled.

Your Health

  • Mouth ulcers or lumps lasting more than 3 weeks
  • Painful red and white patches in the mouth
  • Crusted lip blisters

Medical Condition

  • Liver or kidney problems
  • Weakened immune system
  • Cancer
  • HIV
  • Nervous system issues
  • Electrolyte abnormalities
  • Any serious condition requiring hospital care

Medication

Agreement

  • You will read the patient leaflet
  • You will contact us/your GP if you experience side effects, start new medicines, or develop new conditions
  • You confirm the treatment is for your personal use
  • You have answered all questions truthfully
  • You understand the prescriber makes the final decision to issue treatment

GP Consultation

We can notify your GP of your treatment for you. To do so, we need their contact information. Sharing this information allows your GP to maintain a comprehensive record of your medical history, which is crucial for your health. Without complete records, there could be potential risks to your well-being.