Before you place your first order for Viagra you must read and agree to the following:
Disclaimer.
I hereby release EuroViagraDirect.com and all of its employees and contractors
including physicians from any and all liability whatsoever associated or connected
with my ViagraŽ request and/or use of ViagraŽ. I hereby state that I am an adult
and that I am aware of the potential side effects associated with ViagraŽ. I
understand that no doctor, nurse, or administrative personnel can guarantee
that ViagraŽ, even if prescribed, will provide the results I seek. Further,
I understand that even if prescribed, I may suffer adverse effects from ViagraŽ.
I hereby release EuroViagraDirect.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 of ViagraŽ. 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 of ViagraŽ. 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 ViagraŽ 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
ViagraŽ contraindicated. I further agree to immediately notify any doctor whose
present care I am under that I have chosen to take ViagraŽ so that they may
advise to continue or discontinue use. . 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.
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 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
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 EuroViagraDirect.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 EuroViagraDirect.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 EuroViagraDirect.com doctor and cease
all use of the prescribed medication until further notification.







