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Informed Consent Agreement for the Purchase of Propecia®I hereby release Access RX, Inc. and all of its employees and contractors including physicians from any and all liability whatsoever associated or connected with my Propecia review and/or use of Propecia. I understand that no doctor, nurse or administrative personnel has prior knowledge as to whether I would, or would not have adverse effects due to the fact that each individual has a different biological and chemical make-up. I am participating in this program at my own choice, at my own expense and my own liability and I assume all responsibility for my use of Propecia. I fully understand that Access RX holds me responsible to have an annual complete history, physical exam, and lab tests to ensure that I have no diseases present before entering into the Propecia program. I am also fully aware that if in anyway I have failed to disclose any medical information, or do not inform Access RX of any medical changes in the future I cannot hold Express Today responsible for any adverse effects I may suffer. For International orders only: I agree that I can legally receive this product in my country and I agree that I am responsible for any and all tariffs, duty or customs. If you have any questions or updates regarding you order,
contact us using the email address below! info@accessrx.com If you experience any technical problems ordering on-line, contact us using the email address below: webmaster@accessrx.com  If you have any questions, or would prefer to place your order over
the phone, you may contact us at:
Phone: 800-930-8770 Fax: 800-709-6687 All trademarks and registered trademarks are of their respective companies. © Copyright 1999-2000, all rights reserved. No use of our html, or graphics or derivatives can be made without written permission.
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