Customer Acknowledgments:
Fulfillment
I understand typical pharmacy fulfillment ranges from 7-10 business days but may arrive sooner.
Returns
I understand if prescribed, this medication will be made specifically for me and such prescription medication is not eligible for return.
Cancellations
You may cancel a subscription 15 days before the next monthly processing date of your subscription (after your 3 month commitment has concluded) by emailing your cancellation request to [email protected] . If we are unable to provide you with a prescription for the ordered Services due to being medically inappropriate for you, we will refund your initial payment back to your original method of payment. Additionally, by purchasing subscription based Products and/or Services on Site, you agree that the Pharmacies and Providers incur certain costs which begin immediately upon your completed order. Therefore, you agree that the first month’s fee as well as the monthly fee for the following two months (for a total of 3 consecutive months) is charged at the time of purchase is under non-refundable UNLESS Trim Tribe Rx Providers deem it is not medically appropriate to prescribe you the ordered Products and/or Services. Additionally, you agree that you will not dispute Trim Tribe Rx charges with your credit card company if Trim Tribe Rx has performed its’ duties under your Products and/or Services agreement. False credit card disputes will be aggressively defended and customers who attempt to dispute charges to circumvent the 3 month commitment will be sent to collections and/or have further legal action pursued. For the avoidance of doubt, the failure to timely pay for Services rendered or for inappropriate credit card disputes, Trim Tribe Rx reserves the right and may take action against you, including but not limited to contracting with a third-party agency to collect on our behalf.
Trim Tribe Rx is not enrolled with or otherwise acting as a participating provider in any federal or state healthcare programs (i.e., Medicare, Medicaid) or in any other health plan or third-party payor program. The Providers may be enrolled with or may be participating providers in such federal or state healthcare programs and/or certain health plans or other third-party payor programs for the provision of any healthcare services provided by them. To the extent the Site indicates that the Providers are enrolled in such programs and the Services or Products they provide to you through the Site are “covered services” under such programs, then you will be required to pay any co-pay or deductible amount as required by such programs, and Trim Tribe Rx will facilitate collection of such covered amounts on behalf of the Providers.
We reserve the right to refuse any order you place with us or limit or cancel quantities in our sole discretion. If we make a change to or cancel an order, we may attempt to notify you by contacting you through your account or at the e-mail and/or billing address and/or phone number provided at the time the order was made. We reserve the right to limit or prohibit orders that, in our sole judgment, appear to be placed by dealers, resellers or distributors.
Trim Tribe Rx accepts payment from accounts using credit or debit cards commonly associated with these types of accounts. Trim Tribe Rx makes no warranty, expressed or implied, that your payment will be accepted by your administrator as a valid expense for the account, depending on restrictions that may exist on your own account.
Customer Information
I understand that I am responsible for filling out this questionnaire accurately and my answers will be used by my medical provider in determining medical appropriate treatment.
Refills
I understand I am responsible for requesting refills when applicable.
Order Processing
I understand that proceeding and enrolling will constitute an order being processed.
Treatment
I acknowledge that there are risks of side effects or other outside medical events, such as potential pregnancy. However, these risks do not absolve financial responsibility for the medication, even if discontinuation is necessary before the treatment course is completed. There is no implied guarantee with medication and it is nonrefundable.
YOUR PLAN
What you should know
Read the following for more information about this product and it’s potential side effects.
General Guidelines
The traditional use of weight loss medications is for individuals with a BMI of 30 and above or to those who are overweight who have associated health conditions. Using it for someone in your BMI range (27-29) without an accompanying health condition is termed “off-label.” Using a medication “off-label” refers to the practice of prescribing a drug for a purpose, age group, dosage, or form of administration that is not included in the approved labeling by regulatory agencies like the U.S. Food and Drug Administration (FDA).
While a medication undergoes rigorous testing for specific uses before receiving approval, healthcare providers may discover through clinical experience or research that it can be effective for treating other Conditions. There may be benefits such as weight reduction for individuals within your range. If you agree to this off-label use, it’s crucial to follow the prescribed regimen and report any concerns.
Please discuss any questions with us.
PREGNANCY BREASTFEEDING CONSENT
Please review and agree to the following breastfeeding/pregnancy precaution
Read the following for more information about this product and it’s potential side effects.
Pregnancy and Breastfeeding precaution
The FDA says that these medications may pose a risk to the developing fetus (baby) if you get pregnant while taking it “The pill” (oral contraception) is not enough because this medication can interfere with the effectiveness. For birth control you must use condoms, an IUD, or the implant. Official FDA recommendations: For the first month after first starting a weight loss medication, and for the first month after each dose escalation, continue using your oral contraception and add a barrier method of contraception (such as condoms) to prevent pregnancy. Alternatively, you can switch to a non-oral contraceptive method (such as an IUD or implant) before starting your medication. When you stop the medication, you must continue using a backup method (like condoms) for two months after stopping to allow the medication to fully leave your system before getting pregnant. Similarly, it is not known to be safe in breastfeeding. If you are breastfeeding, consult your doctor for safe weight loss options
TRUTHFULNESS CONSENT
Please attest to the following confirming that all information provided is true
Read the following for more information about this product and it’s potential side effects.
Truthfulness consent
Consent: I have reviewed, understand, and attest that the information I have provided above is true to the best of my knowledge. I understand that it is critical to my health to share complete health information with my doctor. I will not hold the doctor or affiliated medical practice responsible for any oversights or omissions, whether intentional or not in the information that I provided above.