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Waiver of Liability
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I hereby release Menscare Services and all of its employees and contractors including physicians from any and
all liability whatsoever associated or connected with my Viagra Consultation and/or my use of Viagra. I hereby
state that I am an adult and that I am aware of the potential side effects associated with Viagra. I hereby agree
to answer truthfully all of the medical questions on my questionnaire.
I understand that no doctor, nurse, or administrative personnel can guarantee that Viagra, even if prescribed,
will provide the results I seek. Further, I understand that even if prescribed, I may suffer adverse effects from
Viagra. I hereby release Menscare Services 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 Viagra.
I am submitting this questionnaire at my own choice, at my own expense, and my own liability and assume all responsibility
for my use of Viagra. 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 which might make Viagra inappropriate for my condition.
I further agree that I have consulted with my present 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 Viagra contraindicated. CLICK HERE to read this list. I further agree to immediately
notify any doctor whose present care I am under that I have chosen to take Viagra so that they may advise to continue
or discontinue use. Should I engage a new doctor's care in the future, I further agree to immediately notify said
doctor of my use of Viagra.
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