TERMS AND CONDITIONS
Patient Authorization for Delivery of Medications
I, hereby authorize His and Hers HRT staff on duty to act on my behalf to accept medication delivery from the clinics dispensing and deliver my medications and refills to me as prescribed by my provider.
I understand that the provider is not responsible for lost or damaged goods and all issues regarding mail delivery shall be handled through the mailing company used.
I understand that I may be required to come to the office to accept delivery of such medications from the staff on duty on a weekly basis if necessary (or as often as ordered by the nurse practitioner). This authorization will remain active for the course of my treatment at this clinic or until I revoke it in writing.
No Guarantee of Services
His and Hers Hormone Replacement Therapy does not guarantee that any services or medications will be provided to you until you have undergone the full preliminary sign up process and examination by the nurse practitioner.
At the providers discretion you will be provided medications and/or services through His and Hers Hormone Replacement Therapy
*We will not tolerate any sexual advances or inappropriate/aggressive behavior. This will result in immediate dismissal.
No Refund Policy
*His and Hers LLC reserves the right to have NO RETURN and NO REFUND policy. We can refuse service as deemed necessary.
Informed Consent for Hormone Replacement Therapy
Because of the rapidly changing ideas about the safety and effectiveness of hormone therapy for anything other than birth control, I feel it is important to be sure that you have information about the risks and benefits of hormone therapy before you take the therapy we have discussed. Hormone replacement therapy (HRT) is approved by the FDA for prescribed deficiencies only. Using it for other symptoms or problems is considered “off-label” use and the liability is on the patient not the provider. When hormone levels are brought back to “normal” for your age there is much evidence that your overall health will benefit which we will discuss. HRT is the most effective treatment for hormone deficiencies. There may be other long-term beneficial effects of treatment.
Please read the following and sign: I have discussed the reason for taking female/male sex hormones with my provider. I understand why he/she is prescribing them and the risks associated with taking hormones including but not limited to the possibility of an increased risk of breast or endometrial cancer, blood clotting, stroke, or heart attack. I understand that there are different risks if I take any HRT medication. I have discussed these risks and the reasons for taking them, with my doctor. I understand that my provider will do everything he/she knows to do to decrease and minimize the risks of HRT. I understand that there are no guarantees that these measures will be effective at preventing the negative side effects mentioned above or others that we do not yet know about. I accept the risks and unknowns of taking hormone therapy and wish to have my provider prescribe them for me.
TERMS AND CONDITIONS
These terms and conditions (the “Terms and Conditions”) govern the use of hisandhershrt.com and hisandhershormonereplacementtherapy.com (the “site”). The site is owned and operated by Ashley Wheeler. This is a wellness site.
By using this Site, you indicate that you have read and understand these Terms and Conditions and agreed to abide by them at all times.
All content published and made available on our Site is the property of Ashley Wheeler and the Site’s creators. This includes but is not limited to images, text, logos, documents, downloadable files, and anything that contributes to the composition of our site.
Limitation of Liability
Ashley Wheeler and our directors, officers, agents, employees, subsidiaries, and affiliates will not be liable for any actions, claims, losses, damages, liabilities, and expenses including legal fees from use of the Site.
Except where prohibited by law, by using this Site you indemnify and hold harmless Ashley Wheeler and our directors, officers, agents, employees, subsidiaries, an affiliate from any actions, claims, losses, damages, liabilities, and expenses, including legal fees arising out of use of our Site or your violation of these Terms and Conditions.
These terms and Conditions are governed by the laws of the State of Washington
If at any time any of the provisions set forth in these Terms and Conditions are found to be inconsistent or invalid under applicable laws, those provisions will be deemed void and will be removed from these Terms and Conditions. All other provisions will not be affected by the removal and the rest of these Terms and Conditions will still be considered valid.
These Terms and Conditions may be amended from time to time in order to maintain compliance with the law and to reflect any changes to the way we operate our Site and the way we expect users to behave on our Site. We will notify users by email of the changes to these Terms and Conditions or past a notice on our Site.
Please contact us if you have any questions or concerns. Our contact details are as followed:
Chehalis, WA, 98532
You can contact us through the feedback form available on our Site