Patient Agreement
I acknowledge and agree with RxBudget as follows:
1). I am 18 years old or older in the jurisdiction that I reside.
2). I have fully and accurately disclosed my personal and medical information and
consent to its use by the pharmacy and its employees and agents.
3). I authorize the pharmacy to take all steps, sign all documents and to
act on my behalf as if I were personally present and acting myself for the limited
purposes of (a) obtaining a Canadian Prescription for any prescription which I
have sent the pharmacy; and (b) packaging my prescriptions and having
them delivered to me.
4).Title to my medications passes from the pharmacy to me when they have left the pharmacy location.All agreements reached or contracts formed with the pharmacy shall be deemed to be made in the Province of Manitoba, Canada and the laws of the Province of Manitoba shall have sole and exclusive jurisdiction over any dispute arising between myself and the pharmacy, it’s affiliates, parent company, related companies,subsidiaries, officers, directors and employees.
5).This agreement shall apply to every sale by the pharmacy to me and may not be altered unless in writing and signed by both the pharmacy and me.
6). I acknowledge that due to the nature of the products ordered, all sales are final and I cannot return products for refund or exchange.By signing this agreement, I confirm I have read and understood these terms and that my information is true and correct. Furthermore, I agree that the terms herein
are binding on me and my heirs, assigns, successors and personal representatives.
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By signing this document, I confirm I have read and understood these terms
and that my information is true and correct. Furthermore, I agree that the
terms herein are binding on me and my heirs, assigns, successors and
personal representatives.