Statement of Customer Responsibility
By ordering products from Primelife (Primelife), I, the requestor, confirm the following statements to be true and complete, as if I am placed under oath and subject to penalties of perjury:
- I am at least 18 years old and an adult capable of entering legal contracts.
- The laws in my geographical address permit the delivery of the requested supplement(s).
- All questions asked of me during the supplement request on this website have been answered truthfully and completely.
- I will not distribute or sell the requested supplement(s) to others.
- I have had a recent physical examination by a licensed medical physician. Based on the results of my physical and medical history, my doctor has informed me that I have no problems in using the requested supplement(s).
- I know that all supplement(s) have certain risks and I am ready to seek medical attention should I encounter them.
- I will contact my doctor for medical assistance in case I have any complications, issues, or questions regarding the requested supplement(s).
- Knowing all the risks associated with the requested supplement(s), I consent to treatment.
- I understand the benefits, side effects, and risks of the requested prescription supplement(s). I have read additional literature about this and have no additional questions.
- I have used the requested supplement(s) in the past while under a licensed doctor’s supervision. My doctor has advised me that the requested supplement(s) is appropriate for my condition.
- I am requesting prescription supplement for my own personal purposes only.
- I request that a US Licensed Medical Doctor assist my Local Medical Doctor by prescribing the requested supplement(s).
- I request the prescribing doctor to allow the fulfillment of the requested supplement(s) by a US licensed pharmacy.
- I do not request the prescribing doctor to replace the opinion of my local physician.
- I am requesting just the needed amount of supplement(s) for my condition and I am not attempting to create a reserve or stockpile of supplement.
- I will not take any other supplement(s), including “over-the-counter” supplement, without prior consultation and approval from my pharmacist.
- I am the authorized cardholder of the credit card used for payment of the requested supplement.
- I have provided all pertinent information concerning my health and medical history so that the pharmacist and prescribing doctor may properly review my request for the supplement.
Informed Consent Agreement
By requesting supplement through Primelife (Primelife), I, the requestor, confirm the following truthful statements as if under oath and subject to penalties of perjury:
- I hereby release Primelife and all of its employees and contractors including physicians from ANY AND ALL liability whatsoever associated or connected with my request for and use of prescription supplement(s).
- I am an adult and I am aware of the potential side effects associated with ALL supplements; both prescribed and non-prescribed.
- I have answered truthfully all of the medical questions on my questionnaire. I understand that no doctor, pharmacist, or administrative personnel can guarantee that the requested supplement(s), even if prescribed, will provide the results I seek.
- Additionally, I understand that even if prescribed, I may suffer adverse effects from the requested supplement(s).
- I am voluntarily requesting supplement(s) of my own choice, at my own expense and my own liability and assume all responsibility for the use of any supplement(s).
- I fully understand that it is my responsibility to have an annual physical examination, including any suggested lab tests, to ensure that I have no disease(s) that might make the supplements 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 supplements or combination of supplements that are on the published list of supplements that are contraindicated with these supplements.
- I further agree to immediately notify any doctor whose present care I am under that I have chosen to take supplements so that they may advise to continue or discontinue use. I understand that Primelife is unable to accept returns or issue refunds for any orders due to the fact that this is a prescription supplement.
- I am responsible for all customs, tariffs, and taxes applicable to my order. I authorize the contracted pharmacy for which I have ordered from, to fill the prescription for the supplement I am requesting. I understand the supplement will be shipped within 1 to 2 business days after approval.